Provider Demographics
NPI:1396963435
Name:GOLDIN, LISA (MS CCC-A)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:GOLDIN
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:ROSENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COCHLEAR IMPLANT CENTER NYU LANGONE HEALTH
Mailing Address - Street 2:222 EAST 41ST STREET, 8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:917-599-7378
Mailing Address - Fax:
Practice Address - Street 1:COCHLEAR IMPLANT CENTER NYU LANGONE HEALTH
Practice Address - Street 2:222 EAST 41ST STREET, 8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-263-7567
Practice Address - Fax:212-263-3330
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001948-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001948-1OtherSTATE LICENSE NUMBER