Healthcare Provider Details

I. General information

NPI: 1528092020
Provider Name (Legal Business Name): STEVEN CHRISTOPHER GOLINOWSKI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 MERRICK RD
MASSAPEQUA NY
11758-6213
US

IV. Provider business mailing address

35 PHEASANT RUN LN
DIX HILLS NY
11746-8144
US

V. Phone/Fax

Practice location:
  • Phone: 516-795-8446
  • Fax:
Mailing address:
  • Phone: 631-243-1813
  • Fax: 631-243-3635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number187962
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: