Individual
DR. DENNIS JAY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
270 NORTH GENEVA ST, ITHACA, NY 14850
(607) 272-2610
Mailing address
7 WOODLAND AVE, BINGHAMTON, NY 13903
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004296-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005885
PA
Other
Enumeration date
04/18/2007
Last updated
11/05/2012
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