# GOLDROCK MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053510131
- **Authorized official:** JEREMIE RACHUNOW MD (OWNER/PRESIDENT)
- **Authorized official phone:** (973) 575-7342

## Contact information

- **Practice address:** 139 FULTON ST, \# 703, NEW YORK, NY 10038-2594
- **Practice address phone:** (212) 406-0128
- **Mailing address:** 139 FULTON ST, \# 703, NEW YORK, NY 10038-2594
- **Mailing address phone:** (212) 406-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 220017 | NY | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 03/17/2009