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NPI Code Detail

MEDICARE: ANDREW F GOLD D.D.S.

MEDICARE: ANDREW F GOLD D.D.S.
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
1122300000XDentist029501NY

General Provider Information

NPI Number : 1588870059
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW F GOLD D.D.S.
Provider Business Mailing Address
First Line : 505 CLAREMONT PKWY
Second Line :
City : BRONX
State : NY
Zip : 10457-8304
Country : US
Telephone Number : 845-358-1352
Fax Number : 845-358-1268
Provider Business Practice Location Address
First Line : 505 CLAREMONT PKWY
Second Line :
City : BRONX
State : NY
Zip : 10457-8304
Country : US
Telephone Number : 718-299-3600
Fax Number : 718-901-3543
Authorized Official
Title or Position : OWNER
Name : DR. ANDREW FRANKLIN GOLD
Credential : DDS
Telephone Number : 718-299-3600
Provider Enumeration Date : 05/14/2007
Last Update Date : 08/22/2020

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