Individual
DR. IRA A. GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 A WEST 28TH STREET, GROUND FLOOR, SUITE 1, NEW YORK, NY 10001-7901
(212) 725-7185
(212) 725-7168
Mailing address
365A WEST 28TH STREET, GROUND FLOOR, SUITE 1, NEW YORK, NY 10001-7901
(212) 725-7185
(212) 725-7168
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
094552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00155633
—
NY
01
—
0042589
GHI
NY
01
—
094552-7
WORKERS' COMP. BOARD
NY
01
—
33D0956128
CLIA
NY
01
—
506221
BLUE CROSS BLUE SHIELD
NY
Enumeration date
05/15/2007
Last updated
03/16/2009
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