Individual provider · Type 1 NPI
Dennis Jay Gould, D.P.M.
Primary Podiatric Medicine Podiatrist · Ithaca, NY
NPI number
1508083163
Active
Practice location
270 North Geneva St
Ithaca, NY 14850
Mailing address
7 Woodland Ave
Binghamton, NY 13903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N004296-1 (NY) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC005885 (PA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1508083163
Dennis Jay Gould, D.P.M.'s National Provider Identifier is 1508083163, issued on Apr 18, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Ithaca, NY. The record was last updated on Nov 5, 2012.