Individual
NATHANIEL S GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SLOCUM DICKSON MEDICAL GROUP PLLC, 1729 BURRSTONE ROAD, NEW HARTFORD, NY 13413
(315) 798-1700
(315) 798-1707
Mailing address
SLOCUM DICKSON MEDICAL GROUP PLLC, 1729 BURRSTONE ROAD, NEW HARTFORD, NY 13413
(315) 798-1700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
243697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02866104
—
NY
Enumeration date
06/01/2006
Last updated
05/31/2019
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