Theodore Lyle Goldman, MD | |
7 Pulaski Rd, East Northport, NY 11731-2442 | |
(631) 261-3322 | |
(631) 368-5440 |
Full Name | Theodore Lyle Goldman |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 35 Years |
Location | 7 Pulaski Rd, East Northport, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912968181 | NPI | - | NPPES |
01404388 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 184252 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
North Shore University Hospital | Manhasset, NY | Hospital |
Northwell Hospital Glen Cove | Glen cove, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Theodore Lyle Goldman, MD 7 Pulaski Rd, East Northport, NY 11731-2442 Ph: (631) 261-3322 | Theodore Lyle Goldman, MD 7 Pulaski Rd, East Northport, NY 11731-2442 Ph: (631) 261-3322 |
Martin I Granoff, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 554 Larkfield Rd, East Northport, NY 11731 Phone: 631-368-3800 | |
John Raymond Wagner, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 7 Pulaski Rd, East Northport, NY 11731 Phone: 631-261-3322 Fax: 631-368-5440 |