Basic Information
| Provider Information | |||||||||
| NPI: | 1619953908 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GOLDSTEIN | ||||||||
| FirstName: | HAROLD | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 WESTCHESTER AVE | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146813146 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Practice Location | |||||||||
| Address1: | 210 WESTCHESTER AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146330650 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2005 | ||||||||
| LastUpdateDate: | 10/22/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0131X | N004891 | NY | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot Surgery |
ID Information
| ID | Type | State | Issuer | Description | 489100 | 01 | NY | CONNECTICARE | OTHER | 6200456 | 01 | NY | GHI PPO | OTHER | PO5821 | 01 | NY | BLUE CROSS PPO | OTHER | 000000037672 | 01 | NY | GHI HMO | OTHER | 1C8473 | 01 | NY | HEALTH NET | OTHER | 2103259 | 01 | NY | AETNA HMO | OTHER | 1385119 | 01 | NY | UNITED HEALTH CARE | OTHER | P610083 | 01 | NY | OXFORD | OTHER | 01287407050 | 05 | NY | MEDICAID | 133884168 | 01 | NY | EMPIRE STATE PLAN (NYS) | OTHER | 133884168 | 01 | NY | POMCO | OTHER | 6396580006 | 01 | NY | CIGNA PPO | OTHER | 133884168 | 01 | NY | BEECH STREET | OTHER | 133884168 | 01 | NY | MULTIPLAN | OTHER | 480034408 | 01 | NY | RAILROAD MEDICARE | OTHER | N004891 | 01 | NY | HIP | OTHER | 5051510 | 01 | NY | AETNA NON HMO | OTHER | 509436 | 01 | NY | PHCS | OTHER |