Gooldy, Samuel K

Gooldy, Samuel K is an individual health care provider with primary practice located at 1 Oxford Rd Suite 304, New Hartford NY 13413-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gooldy, Samuel K can be contacted via phone (315) 724-6611.

Contact Information

Primary practice address
1 Oxford Rd Suite 304 New Hartford NY 13413-2651
Phone: (315) 724-6611
Fax: (315) 724-6366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 135438 New York

Profile Details

NPI number 1225187164
LBN Legal business name Gooldy, Samuel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1225187164 NPPES
New York MEDICAID 00582774

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