Individual
JAMES GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 DEER PARK AVE, N BABYLON, NY 11703-1611
(631) 586-3388
(631) 586-3394
Mailing address
81 W BAYBERRY RD, ISLIP, NY 11751-4912
(631) 277-8720
(631) 277-8739
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01236960
—
NY
Enumeration date
01/26/2006
Last updated
02/19/2014
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