Organization
GOE IPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FISHBECK (BOARD SECRETARY)
(315) 265-3105
Entity
Organization
Contact information
Practice address
6805 US HIGHWAY 11, POTSDAM, NY 13676-3131
(315) 265-3105
Mailing address
6805 US HIGHWAY 11, POTSDAM, NY 13676-3131
(315) 265-3105
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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