Individual
JORDAN LEE GOETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ANESTHESIA GROUP OF ALBANY PC, 1450 WESTERN AVENUE, SUITE 102, ALBANY, NY 12203-3539
(514) 630-0050
(518) 207-2973
Mailing address
11 NEWCOMB DR, ALBANY, NY 12211-1809
(703) 582-2534
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
316827
NY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
316827
NY
Other
Enumeration date
06/06/2018
Last updated
05/15/2024
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