Individual
DR. IDAN GOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E. GENESEE ST, STE 205, SYRACUSE, NY 13210
(315) 464-1600
(315) 464-1601
Mailing address
1000 E. GENESEE ST, STE 205, SYRACUSE, NY 13210
(315) 464-1600
(315) 464-1601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
327272
NY
207RG0100X
Gastroenterology Physician
57.253985
OH
Other
Enumeration date
03/30/2023
Last updated
08/15/2024
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