Golis, Dennis

Golis, Dennis is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Golis, Dennis can be contacted via phone (315) 798-1617.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413
Phone: (315) 798-1617
Fax: (315) 624-1926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011999 New York

Profile Details

NPI number 1114909892
LBN Legal business name Golis, Dennis
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114909892 NPPES
New York MEDICAID 03974729

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