# NEW YORK INDIVIDUAL MEDICAL CARE PC

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

## Provider details

- **NPI number:** 1285198036
- **Authorized official:** DR. JOSEPH GOLYAN MD (OWNER)
- **Authorized official phone:** (516) 775-8605

## Contact information

- **Practice address:** 10201 66TH RD, FOREST HILLS, NY 11375-2029
- **Practice address phone:** (516) 570-2436
- **Mailing address:** 24 ROGERS RD, KINGS POINT, NY 11024-2111
- **Mailing address phone:** (516) 570-2436
- **Mailing address fax:** (516) 704-2058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 01/25/2019
