Individual
DR. JUAN DOMINGO GOYZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 FORESTBURGH RD, MONTICELLO, NY 12701-2348
(845) 791-1624
(845) 791-1689
Mailing address
PO BOX 284, FLORIDA, NY 10921-0284
(845) 651-2478
(845) 651-2479
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
178009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01617569
—
NY
Enumeration date
02/06/2007
Last updated
05/10/2008
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