Individual
DR. AVRAM GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787
(631) 444-2500
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-2500
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
143594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00948307
—
NY
01
—
28N702
EMPIRE BC.BS
NY
01
—
5396503
AETNA
NY
Enumeration date
07/11/2006
Last updated
07/08/2007
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