Bryan L Goddard is a Family Medicine in Latham, New York. Bryan L Goddard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bryan L Goddard is 1780678169. The last update date is 2018-01-18.
Bryan L Goddard's current location address is 711 Troy Schenectady Rd Ste 203, Latham, New York. You can contact this provider via phone number 5187823700 and fax number 5187823799. The mailing address for Bryan L Goddard is 711 Troy Schenectady Rd Ste 203, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan L Goddard |
|---|---|
| Address | 711 Troy Schenectady Rd Ste 203, Latham, New York |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780678169 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2018-01-18 |
Provider Mailing Address Detail
| Address | 711 Troy Schenectady Rd Ste 203 |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121102461 |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2008004918 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6754C1 | NY | EMPIRE BC | |
| 4228179 | NY | AETNA | |
| 101115000088 | NY | FIDELIS | |
| PRC110032213 | NY | CDPHP | |
| 751111 | NY | -- | |
| 305800 | NY | SENIOR WHOLE HEALTH | |
| 642981 | NY | GHI/HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bryan L Goddard by the Centers for Medicare & Medicaid Services?
The Bryan L Goddard has been issued the NPI (National Provider Identifier) 1780678169, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bryan L Goddard is physically located?
The Bryan L Goddard is physically situated at the following address: 711 Troy Schenectady Rd Ste 203, Latham, NY, 121102461.
What is the Bryan L Goddard's area of specialization and corresponding taxonomy classification?
The Bryan L Goddard's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Bryan L Goddard receive its 1780678169 assignment from the Centers for Medicare & Medicaid Services?
The Bryan L Goddard was assigned its 1780678169 by the Centers for Medicare & Medicaid Services on 2005-08-31.
As of what date were the Bryan L Goddard's details last updated?
The information pertaining to the Bryan L Goddard, including its address, specialty, and other details, was most recently updated on 2018-01-18.
NPI Number: 1063415297
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