Jacob Krehbiel Goertz
Emergency Physician
First Avenue At 16th Street Beth Israel Medical Center Dept. Of Emergency Medicine
New York
, New York 10003
Jacob Krehbiel Goertz
Emergency Physician
First Avenue At 16th Street Beth Israel Medical Center Dept. Of Emergency Medicine
New York
, New York 10003
(917) 842-7003
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jacob Krehbiel Goertz
- 235 W 102nd St Apt. 17n
- New York, NY
- Zip : 10025-8400
- Phone : (917) 842-7003
Second Address
- Jacob Krehbiel Goertz
- First Avenue At 16th Street Beth Israel Medical Center Dept. Of Emergency Medicine
- New York, NY
- Zip : 10003
- Fax : (212) 420-2863
- Phone : (212) 420-2847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 221907 | NY |
National Provider Identifier
| NPI | 1013087469 |
|---|---|
| Provider Name | Jacob Krehbiel Goertz |
| First Address | New York, NY 10025-8400 |
| Second Address | New York, NY 10003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 20/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02605269 | (05) | NY |
| I22012 | (02) |
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.