Provider Demographics
NPI:1184507352
Name:JEFFREY P GOLDSTEIN OTR PT PLLC
Entity type:Organization
Organization Name:JEFFREY P GOLDSTEIN OTR PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEROXIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-780-0132
Mailing Address - Street 1:180 BOARDWALK UNIT 819
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-6916
Mailing Address - Country:US
Mailing Address - Phone:516-238-0294
Mailing Address - Fax:516-897-5399
Practice Address - Street 1:180 BOARDWALK UNIT 819
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-6916
Practice Address - Country:US
Practice Address - Phone:516-238-0294
Practice Address - Fax:516-897-5399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty