Individual
ANDREW ROBERT GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 FLUVANNA AVE, JAMESTOWN, NY 14701-2051
(716) 487-1131
Mailing address
129 WILLOW AVE, JAMESTOWN, NY 14701-4120
(716) 484-2026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307808
NY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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