Organization
AMHERST NEUROLOGIC ASSOCIATES
Active
Other names
Svend Gothgen MD
Organization subpart
No
Provider details
NPI number
Authorized official
SVEND GOTHGEN MD (OWNER)
(716) 634-2652
Entity
Organization
Contact information
Practice address
4140 SHERIDAN DRIVE, SUITE 5, WILLIAMSVILLE, NY 14221-4341
(716) 634-2652
(716) 634-2653
Mailing address
4140 SHERIDAN DRIVE, SUITE 5, WILLIAMSVILLE, NY 14221-4341
(716) 634-2652
(716) 634-2653
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
136790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010066701
UNIVERA
NY
01
—
000507660001
BCBS
NY
05
—
00619076
—
NY
01
—
0501229
INDEPENDENT HEALTH
NY
Enumeration date
01/22/2007
Last updated
06/25/2008
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