Goldstein, Jonathan Victor

Goldstein, Jonathan Victor is an individual health care provider with primary practice located at 77 N Centre Ave Suite 306, Rockville Centre NY 11570-3923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldstein, Jonathan Victor can be contacted via phone (516) 264-5900.

Contact Information

Primary practice address
77 N Centre Ave Suite 306 Rockville Centre NY 11570-3923
Phone: (516) 264-5900
Fax: (516) 594-9728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 092410 New York

Profile Details

NPI number 1164574760
LBN Legal business name Goldstein, Jonathan Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164574760 NPPES
Other 010092410NY01 ANTHEM
Other 4266128 ANTHEM
Other 97942 ANTHEM
Other 23614P ANTHEM
MEDICAID 00149028 ANTHEM
Other A5398 ANTHEM
Other 020015785 ANTHEM
Other 0457009011 ANTHEM
Other OC3104 ANTHEM
Other OC3104 ANTHEM
Other 522421 ANTHEM
Other 6523 ANTHEM
Other AB45739 ANTHEM

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