Individual
JEFFREY L. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
(212) 327-1613
(212) 327-1613
Mailing address
201 E 69TH ST, SUITE 2C, NEW YORK, NY 10021-5471
(212) 327-1613
(212) 327-1613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
217381-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02374289
—
NY
01
—
0423Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
03/17/2006
Last updated
12/13/2010
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