Organization
GOLDROCK MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIE RACHUNOW MD (OWNER/PRESIDENT)
(973) 575-7342
Entity
Organization
Contact information
Practice address
139 FULTON ST, # 703, NEW YORK, NY 10038-2594
(212) 406-0128
Mailing address
139 FULTON ST, # 703, NEW YORK, NY 10038-2594
(212) 406-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220017
NY
Other
Enumeration date
07/17/2007
Last updated
03/17/2009
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