MEDICARE: GOLDSTEIN & LEVINE PTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	145681	NY
2	208000000X	Pediatrics Physician	168120	NY
3	208000000X	Pediatrics Physician	236212	NY
4	208000000X	Pediatrics Physician	144545	NY

General Provider Information

NPI Number	:	1598891061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDSTEIN & LEVINE PTR

Provider Business Mailing Address
First Line	:	14149 70TH RD
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	718-268-5282
Fax Number	:	718-261-4359

Provider Business Practice Location Address
First Line	:	14149 70TH RD
Second Line	:
City	:	KEW GARDENS HILLS
State	:	NY
Zip	:	11367-1936
Country	:	US
Telephone Number	:	718-268-5282
Fax Number	:	718-261-4359

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. STEVEN JAY GOLDSTEIN
Credential	:	M.D.
Telephone Number	:	718-268-5282

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/21/2019

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Directions to “GOLDSTEIN & LEVINE PTR ” Practice Location

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