Individual
JONATHAN M GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, DEPARTMENT OF NEUROLOGY, NEW YORK, NY 10021-4823
(212) 606-1046
(212) 249-9185
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
270535
NY
2084N0400X
Neurology Physician
030692
CT
2084N0400X
Neurology Physician
Primary
270535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001306928
—
CT
05
—
01556216
—
NY
Enumeration date
11/21/2005
Last updated
12/02/2013
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