Individual
MR. DENNIS MICHAEL MCGOLDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA C
Contact information
Practice address
4855 CAMP RD, SUITE 100, HAMBURG, NY 14075-2600
(716) 646-1084
(716) 646-0763
Mailing address
4855 CAMP RD, SUITE 100, HAMBURG, NY 14075-2600
(716) 646-1084
(716) 646-0763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00720810
—
NY
Enumeration date
07/10/2006
Last updated
07/21/2014
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