Eric Paul Gothelf is a Dentist in Woodside, New York. Eric Paul Gothelf practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Paul Gothelf is 1255312641. The last update date is 2007-07-08.
Eric Paul Gothelf's current location address is 6121 Roosevelt Ave, Woodside, New York. You can contact this provider via phone number 7184580940 and fax number 7184581319. The mailing address for Eric Paul Gothelf is 6121 Roosevelt Ave, Woodside, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Paul Gothelf |
|---|---|
| Address | 6121 Roosevelt Ave, Woodside, New York |
| Phone Number | 7184580940 |
| Fax Number | 7184581319 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1255312641 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6121 Roosevelt Ave |
|---|---|
| City | Woodside |
| State | New York (NY) |
| Post Code | 113773569 |
| Phone Number | 7184580940 |
| Fax Number | 7184581319 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40189 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 983537 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eric Paul Gothelf by the Centers for Medicare & Medicaid Services?
The Eric Paul Gothelf has been assigned the NPI (National Provider Identifier) 1255312641 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eric Paul Gothelf?
The Eric Paul Gothelf is situated at 6121 Roosevelt Ave, in the city of Woodside, state of NY, with the zip code 113773569.
What is Eric Paul Gothelf's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eric Paul Gothelf is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the Eric Paul Gothelf's 1255312641 issued?
The Eric Paul Gothelf's 1255312641 was issued on 2005-11-11.
When was the information related to Eric Paul Gothelf most recently updated or refreshed?
The details pertaining to the Eric Paul Gothelf, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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