Healthcare Provider Details

I. General information

NPI: 1245807221
Provider Name (Legal Business Name): LINDSEY GOLDSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 WALTON AVE
BRONX NY
10452-6901
US

IV. Provider business mailing address

52 REDWOOD DR
HIGHLAND MILLS NY
10930-2813
US

V. Phone/Fax

Practice location:
  • Phone: 718-681-8701
  • Fax:
Mailing address:
  • Phone: 845-492-7235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number031811-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: