| Svend Gothgen Md | |
|
4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 | |
| (716) 634-2652 | |
| (716) 634-2653 |
| Full Name | Svend Gothgen Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4140 Sheridan Drive, Williamsville, New York |
| Authorized Official Name and Position | Svend Gothgen (OWNER) |
| Authorized Official Contact | 7166342652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Svend Gothgen Md 4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 Ph: (716) 634-2652 | Svend Gothgen Md 4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 Ph: (716) 634-2652 |
| NPI Number | 1033263504 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033263504 | NPI | - | NPPES |
| 00010066701 | Other | NY | UNIVERA |
| 000507660001 | Other | NY | BCBS |
| 0501229 | Other | NY | INDEPENDENT HEALTH |
| 00619076 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 136790 (New York) | Primary |
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