Samuel K Gooldy, Md Pc | |
1 Oxford Rd Suite 304 New Hartford NY 13413-2651 | |
(315) 724-6611 | |
(315) 724-6366 |
Full Name | Samuel K Gooldy, Md Pc |
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Speciality | Family Medicine |
Location | 1 Oxford Rd, New Hartford, New York |
Authorized Official Name and Position | Samuel K Gooldy (PRESIDENT) |
Authorized Official Contact | 3157246611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Samuel K Gooldy, Md Pc 1 Oxford Rd Suite 304 New Hartford NY 13413-2651 Ph: (315) 724-6611 | Samuel K Gooldy, Md Pc 1 Oxford Rd Suite 304 New Hartford NY 13413-2651 Ph: (315) 724-6611 |
NPI Number | 1104975036 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 01/16/2009 |
Medicare PECOS PAC ID | 8921995887 |
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Medicare Enrollment ID | O20040304000005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104975036 | NPI | - | NPPES |
00582774 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Samuel K Gooldy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225187164 PECOS PAC ID: 7911894878 Enrollment ID: I20040304000025 |
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