Provider Demographics
NPI:1427157130
Name:GOLDMAN, STEVEN A (MD PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:GOLDMAN
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:1351 MOUNT HOPE AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3917
Mailing Address - Country:US
Mailing Address - Phone:585-275-8503
Mailing Address - Fax:585-276-2249
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 278984
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-8503
Practice Address - Fax:585-276-2249
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
NY1653552084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01708299Medicaid
NYE44909Medicare UPIN
NYRA4799Medicare PIN