Organization
GLENN A GOLDSTEIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ALLAN GOLDSTEIN M.D. (PRESIDENT)
(212) 371-0500
Entity
Organization
Contact information
Practice address
115 E 57TH ST, SUITE 1117, NEW YORK, NY 10022-2049
(212) 371-0500
(917) 591-0797
Mailing address
157 E 57TH ST, SUITE 5F, NEW YORK, NY 10022-2104
(212) 371-0500
(917) 591-0797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
146182
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
146182
NY
Other
Enumeration date
02/25/2014
Last updated
03/17/2020
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