DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE GOLDSTEIN

Active Sole Proprietor

JAKE GOLDSTEIN is a Case Management Agency healthcare provider located in GLEN COVE, New York. NPI 1578153995 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · GLEN COVE, NY

Registration Details

NPI Number
1578153995
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2021 (5.6020432242203 yrs)
Last Updated
Jan 20, 2021
Sole Proprietor
Yes

Practice Information

Address
350 HERB HILL RD APT 321
GLEN COVE, NY, 115424407
Browse NY providers · Browse ZIP 11542
Phone
6318711092
Primary Specialty
Case Management Agency
251B00000X
Additional Specialty
Case Management Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.