Provider Demographics
NPI:1194737395
Name:GOLDIN, DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:GOLDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6105
Mailing Address - Country:US
Mailing Address - Phone:212-717-4884
Mailing Address - Fax:212-717-4888
Practice Address - Street 1:646 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6105
Practice Address - Country:US
Practice Address - Phone:212-717-4884
Practice Address - Fax:212-717-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1185883OtherCIGNA
NYP3284706OtherOXFORD FREEDOM
NY297AJ1OtherEMPIRE BLUE CROSS BLUE SH
NY3567855OtherAETNA HMO
NY5C5125OtherHEALTHNET
NY7298629OtherAETNA PPO
NY2445527OtherUNITED HEALTHCARE
NY7298629OtherAETNA PPO
I05771Medicare UPIN