Gomez, Ronald H

Gomez, Ronald H is an sole proprietor health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gomez, Ronald H can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550-5263
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006698 New York

Profile Details

NPI number 1477959898
LBN Legal business name Gomez, Ronald H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2014
Last updated Dec 10th, 2018 - 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 1477959898 NPPES
New York MEDICAID 04312552

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