Individual
JACOB KREHBIEL GOERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FIRST AVENUE AT 16TH STREET, BETH ISRAEL MEDICAL CENTER DEPT. OF EMERGENCY MEDICINE, NEW YORK, NY 10003
(212) 420-2847
(212) 420-2863
Mailing address
235 W 102ND ST, APT. 17N, NEW YORK, NY 10025-8400
(917) 842-7003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
221907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02605269
—
NY
Enumeration date
11/09/2006
Last updated
11/20/2013
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