Goldstein, Leslie S

Goldstein, Leslie S is an individual health care provider with primary practice located at 258 Hoosick St Suite 101, Troy NY 12180-2427. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goldstein, Leslie S can be contacted via phone (518) 274-5660.

Contact Information

Primary practice address
258 Hoosick St Suite 101 Troy NY 12180-2427
Fax: (518) 274-5666
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 157862 New York

Profile Details

NPI number 1871580845
LBN Legal business name Goldstein, Leslie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 19th, 2012 - about 12 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 1871580845 NPPES
New York Other 000405271001 BLUE SHIELD OF NENY
New York MEDICAID 00844633 BLUE SHIELD OF NENY
New York Other 0076113 BLUE SHIELD OF NENY
New York Other 10000785 BLUE SHIELD OF NENY
New York Other 27123 BLUE SHIELD OF NENY
New York Other 51E511 BLUE SHIELD OF NENY

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