Physician Compare National (NPI:1154488633)

HEALTHCARE PROVIDER: ERIC GOLDSTEIN PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154488633
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769558220
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080906000105
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDSTEIN
	Individual professional last name
Provider First Name	ERIC
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5975 SUNSET DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 803
	Group Practice or individual's line 2 address
City	SOUTH MIAMI
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331435174
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3056625299
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y