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Individual

MARK GOLDGEIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
919 WESTFALL RD, BLDG A. SUITE 200, ROCHESTER, NY 14618-2638
(585) 244-4240
(585) 442-4767
Mailing address
919 WESTFALL RD, BLDG A. SUITE 200, ROCHESTER, NY 14618-2638
(585) 244-4240
(585) 442-4767

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
148706
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010148706
EXCELLUS HMO
NY
01
1016
EXCELLUS BLUE SHIELD
NY
01
AA0971
RAILROAD MEDICARE PIN
NY
01
MD4F31
PREFERRED CARE
NY
Enumeration date
07/05/2006
Last updated
05/07/2015
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