Craig Gothelf in Jackson Heights - General Practice

Craig Gothelf - NPI 1154311298

Craig Gothelf is a General Practice in Jackson Heights, New York. Craig Gothelf practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig Gothelf is 1154311298. The last update date is 2007-07-09.

Craig Gothelf's current location address is 3730 83rd St, Jackson Heights, New York. You can contact this provider via phone number 7186396966 and fax number 7186398478. The mailing address for Craig Gothelf is 3730 83rd St, Jackson Heights, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig Gothelf
Address 3730 83rd St, Jackson Heights, New York
Phone Number 7186396966
Fax Number 7186398478
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1154311298
Provider Enumeration Date 2005-10-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3730 83rd St
City Jackson Heights
State New York (NY)
Post Code 113727154
Phone Number 7186396966
Fax Number 7186398478

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 37574
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
780570 NY --

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FAQs about Craig Gothelf

What is the unique 10-digit identifier code assigned to Craig Gothelf by the Centers for Medicare & Medicaid Services?

The Craig Gothelf has been issued the NPI (National Provider Identifier) 1154311298 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Craig Gothelf is physically located?

The Craig Gothelf is physically situated at the following address: 3730 83Rd St, Jackson Heights, NY, 113727154.

What is the Craig Gothelf's area of specialization and corresponding taxonomy classification?

The Craig Gothelf's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When was the Craig Gothelf's 1154311298 issued?

The Craig Gothelf's 1154311298 was issued on 2005-10-27.

When was the information related to Craig Gothelf most recently updated or refreshed?

The details pertaining to the Craig Gothelf, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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