Individual
DENNIS GOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413
(315) 798-1617
(315) 624-1926
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(318) 798-1702
(315) 798-1726
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03974729
—
NY
Enumeration date
11/17/2005
Last updated
02/18/2019
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