Individual
DR. IRVING H GOMOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
222 STATION PLZ N, SUITE 518, MINEOLA, NY 11501-3808
(516) 663-2588
(516) 663-4644
Mailing address
222 STATION PLZ N, SUITE 518, MINEOLA, NY 11501-3808
(516) 663-2588
(516) 663-4644
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
181465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208482
—
NY
Enumeration date
04/13/2006
Last updated
02/25/2021
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