Individual
DR. JUAN C GOEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
294 W MERRICK RD, SUITE 8, FREEPORT, NY 11520-3374
(516) 378-8383
(516) 377-6991
Mailing address
294 W MERRICK RD, SUITE 8, FREEPORT, NY 11520-3374
(516) 378-8383
(516) 377-6991
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810695
—
NY
Enumeration date
07/06/2006
Last updated
09/20/2012
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