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NPI Code Detail

MEDICARE: DR. EMILIO A GOEZ DPM

MEDICARE:  DR. EMILIO A GOEZ  DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristN004738NY

General Provider Information

NPI Number : 1093710865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILIO A GOEZ DPM
Provider Business Mailing Address
First Line : 294 W MERRICK RD
Second Line : STE 8
City : FREEPORT
State : NY
Zip : 11520-3357
Country : US
Telephone Number : 516-378-8383
Fax Number : 516-377-6991
Provider Business Practice Location Address
First Line : 294 W MERRICK RD
Second Line : STE 8
City : FREEPORT
State : NY
Zip : 11520-3357
Country : US
Telephone Number : 516-378-8383
Fax Number : 516-377-6991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 08/13/2008

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Directions to “ DR. EMILIO A GOEZ DPM” Practice Location

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