Gorski, Derek Paul

Gorski, Derek Paul is an individual health care provider with primary practice located at 3448 Rte 31 Belgium Meadows, Baldwinsville NY 13027-9231. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gorski, Derek Paul can be contacted via phone (315) 622-6595.

Contact Information

Primary practice address
3448 Rte 31 Belgium Meadows Baldwinsville NY 13027-9231
Phone: (315) 622-6595
Fax: (315) 622-3298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 260721 New York

Profile Details

NPI number 1295999704
LBN Legal business name Gorski, Derek Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Aug 27th, 2013 - about 12 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 1295999704 NPPES
New York MEDICAID 03351008

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