Gould, Nathaniel S

Gould, Nathaniel S is an individual health care provider with primary practice located at Slocum Dickson Medical Group Pllc 1729 Burrstone Road, New Hartford NY 13413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gould, Nathaniel S can be contacted via phone (315) 798-1700.

Contact Information

Primary practice address
Slocum Dickson Medical Group Pllc 1729 Burrstone Road New Hartford NY 13413
Phone: (315) 798-1700
Fax: (315) 798-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 243697 New York

Profile Details

NPI number 1164469755
LBN Legal business name Gould, Nathaniel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 31st, 2019 - about 5 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 1164469755 NPPES
New York MEDICAID 02866104

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