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Contact Information

LAWRENCE S GOLDMAN, MD
203 UNION AVE
HOLBROOK, NY11741-1704
 Phone: 631-585-5858
 Fax: 631-585-6362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAWRENCE S GOLDMAN · (Male)

NPI Number 1609988211
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 04/15/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 164959-1
  • NY Medicaid 01392332
  • NY Other 5193238 AMERI BEN CCN ID
  • NY Other 364487963 AMERICAN MEDICAL ID
  • NY Other GL4959 ATLANTIS ID
  • NY Other 094AK1 BCBS ID
  • NY Other 364487963 BEECH STREET ID
  • NY Other 433789NA CIGNA ID
  • NY Other 1935099 FIRST HEALTH ID
  • NY Other 2594571 GHI ID
  • NY Other 4C2934 HEALTHNET ID
  • NY Other 49975P HIP ID
  • NY Other 364487963 HORIZON ID
  • NY Other 364487963 MAGNACARE ID
  • NY Other AA50422B MDNY ID
  • NY Other P12037461 MULTIPLAN ID
  • NY Other P1017054 OXFORD ID
  • NY Other 1769226 UNITED HEALTH CARE ID
  • NY Other 84827 VYTRA ID
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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