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Contact Information

DANIELLE M GOMES
1964 STATE HIGHWAY 11C
NORTH LAWRENCE, NY12967
 Phone: 315-212-8286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for DANIELLE M GOMES · (Female)

NPI Number 1124311196
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2011
Last updated 05/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 624316
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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