Individual
DR. VASILIOS THEODOROS GOUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 OLD COUNTRY RD, MINEOLA, NY 11501-4235
(516) 739-2100
Mailing address
200 OLD COUNTRY RD STE 350, MINEOLA, NY 11501-4243
(516) 739-2100
(516) 873-8068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
198055
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
198055
NY
Other
Enumeration date
01/07/2013
Last updated
01/25/2023
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