Healthcare Provider Details

I. General information

NPI: 1346381720
Provider Name (Legal Business Name): EUGENE GOYKHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 NOTT ST STE C1
SCHENECTADY NY
12308-2489
US

IV. Provider business mailing address

124 ROSA RD SUITE 382
SCHENECTADY NY
12308-2116
US

V. Phone/Fax

Practice location:
  • Phone: 518-892-4002
  • Fax: 518-243-1350
Mailing address:
  • Phone: 518-386-3691
  • Fax: 518-386-3553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number234296
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number234296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: