MEDICARE: DR. ALLISON P GOULD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	041845	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366966491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON P GOULD PT

Provider Business Mailing Address
First Line	:	7 W 36TH ST STE 401
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7911
Country	:	US
Telephone Number	:	646-478-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W 36TH ST STE 401
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7911
Country	:	US
Telephone Number	:	646-478-8700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2017
Last Update Date	:	12/21/2021

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Directions to “ DR. ALLISON P GOULD PT” Practice Location

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