Healthcare Provider Details

I. General information

NPI: 1902548969
Provider Name (Legal Business Name): STEVEN GOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ROCKAWAY TPKE
CEDARHURST NY
11516-1122
US

IV. Provider business mailing address

380 ROCKAWAY TPKE
CEDARHURST NY
11516-1122
US

V. Phone/Fax

Practice location:
  • Phone: 718-868-4804
  • Fax:
Mailing address:
  • Phone: 917-586-5716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number334780
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: