Individual ProviderKathleen Walsh GoldsteinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address342 Oxhead Rd, Stony Brook, NY 11790-2303(631) 689-8226PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Walsh Goldstein does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356537252Provider TypeIndividualFull NameGoldstein, Kathleen WalshTitleMs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date9/24/2007Last Updated9/24/2007Contact InformationPractice LocationPractice Address342 Oxhead Rd, Stony Brook, NY 11790-2303Phone(631) 689-8226FaxUnlisted FaxMailing LocationMailing Address342 Oxhead Rd, Stony Brook, NY 11790-2303Phone(631) 689-8226FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense013302New YorkCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3857-024Wisconsin