Svend Gothgen Md | |
4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 | |
(716) 634-2652 | |
(716) 634-2653 |
Full Name | Svend Gothgen Md |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 4140 Sheridan Drive, Williamsville, New York |
Authorized Official Name and Position | Svend Gothgen (OWNER) |
Authorized Official Contact | 7166342652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Svend Gothgen Md 4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 Ph: (716) 634-2652 | Svend Gothgen Md 4140 Sheridan Drive Suite 5 Williamsville NY 14221-4341 Ph: (716) 634-2652 |
NPI Number | 1033263504 |
---|---|
Provider Enumeration Date | 01/22/2007 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033263504 | NPI | - | NPPES |
00010066701 | Other | NY | UNIVERA |
000507660001 | Other | NY | BCBS |
0501229 | Other | NY | INDEPENDENT HEALTH |
00619076 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 136790 (New York) | Primary |
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› Verified 4 days ago
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