Organization
NEW YORK INDIVIDUAL MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GOLYAN MD (OWNER)
(516) 775-8605
Entity
Organization
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(516) 570-2436
Mailing address
24 ROGERS RD, KINGS POINT, NY 11024-2111
(516) 570-2436
(516) 704-2058
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01959044
—
NY
Enumeration date
01/25/2019
Last updated
01/25/2019
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