Goris, Jose A

Goris, Jose A is an sole proprietor health care provider with primary practice located at 435 Fort Washington Ave Suite 1C, New York NY 10033-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Goris, Jose A can be contacted via phone (212) 923-0408.

Contact Information

Primary practice address
435 Fort Washington Ave Suite 1C New York NY 10033-3506
Phone: (212) 923-0408
Fax: (212) 923-4032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 190663 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 190663 New York

Profile Details

NPI number 1790714962
LBN Legal business name Goris, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714962 NPPES
New York MEDICAID 01740610

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