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Contact Information

DENNIS GOLIS, RPAC
1729 BURRSTONE RD
NEW HARTFORD, NY13413
 Phone: 315-798-1617
 Fax: 315-624-1926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DENNIS GOLIS · (Male)

NPI Number 1114909892
Status Active
Credentials RPAC
Entity Individual
Enumeration date 11/17/2005
Last updated 02/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 011999
  • NY Medicaid 03974729
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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