Howard Gooch
Podiatrist Orthotic Fitter
179th Street And Linden Blvd
St.albans
, New York 11425
Howard Gooch
Podiatrist Orthotic Fitter
179th Street And Linden Blvd
St.albans
, New York 11425
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About
Features
Specialties
- Podiatrist
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Howard Gooch
- 179th Street And Linden Blvd
- St.albans, NY
- Zip : 11425
- Phone :
Second Address
- Howard Gooch
- 179th Street And Linden Blvd
- St.albans, NY
- Zip : 11425
- Fax : (718) 298-8669
- Phone : (718) 298-8590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ||
| Y | 222Z00000X | Podiatrist | ||
| N | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1720223613 |
|---|---|
| Provider Name | Howard Gooch |
| First Address | St.albans, NY 11425 |
| Second Address | St.albans, NY 11425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2008 |
| Last Update Date | 22/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.