Mcgoldrick, Dennis Michael

Mcgoldrick, Dennis Michael is an individual health care provider with primary practice located at 4855 Camp Rd Suite 100, Hamburg NY 14075-2600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcgoldrick, Dennis Michael can be contacted via phone (716) 646-1084.

Contact Information

Primary practice address
4855 Camp Rd Suite 100 Hamburg NY 14075-2600
Phone: (716) 646-1084
Fax: (716) 646-0763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003076 New York

Profile Details

NPI number 1588698203
LBN Legal business name Mcgoldrick, Dennis Michael
Credentials RPA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 21st, 2014 - about 11 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 1588698203 NPPES
New York MEDICAID 00720810

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