Individual
AMIT GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 HARRISON ST, SUITE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6252
Mailing address
550 HARRISON ST, SUITE 330, SYRACUSE, NY 13202-3188
(315) 464-1800
(315) 464-6252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248515
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
248515
NY
208C00000X
Colon & Rectal Surgery Physician
A107279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03607701
—
NY
05
—
A107279
—
CA
Enumeration date
04/30/2009
Last updated
10/04/2013
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