Gomolin, Irving H
Gomolin, Irving H is an individual health care provider with primary practice located at 222 Station Plz N Suite 518, Mineola NY 11501-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Gomolin, Irving H can be contacted via phone (516) 663-2588.Contact Information
Primary practice address
222 Station Plz N Suite 518
Mineola NY 11501-3808
Phone: (516) 663-2588
Fax: (516) 663-4644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 181465 | New York |
Profile Details
| NPI number | 1306800636 |
|---|---|
| LBN Legal business name | Gomolin, Irving H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Feb 25th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306800636 | NPPES |
| New York | MEDICAID | 2208482 |
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