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Bryan L Goddard, MD
Family Medicine Physician in Ravena, New York
NPI 1780678169

Bryan L Goddard is a Family Medicine Physician based in Latham, NY. Bryan L Goddard practices in Ravena, NY and has the professional credentials of MD. The NPI Number for Bryan L Goddard is 1780678169 and holds a License No. 2008004918 (New York).

The current practice location address for Bryan L Goddard is 2524 Route 9W, Ravena, NY and can be reached out via phone at 518-756-7390 and via fax at 518-756-8030.

Location: 2524 Route 9W, Ravena, NY, 12110-2461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780678169
Provider Name
Bryan L Goddard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2524 Route 9W, Ravena, NY, 12110-2461
Phone Number
518-756-7390
Fax Number
518-756-8030
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6754C1 01 NY EMPIRE BC
4228179 01 NY AETNA
101115000088 01 NY FIDELIS
PRC110032213 01 NY CDPHP
00751111 05 NY
305800 01 NY SENIOR WHOLE HEALTH
642981 01 NY GHI/HMO
institution
Provider Business Practice Location Address Details
Address
2524 Route 9W
City
Ravena
State
New York
Zip
12143-2804
Phone Number
518-756-7390
Fax Number
518-756-8030
person
Provider Business Mailing Address Details
Address
2524 Route 9W
City
Ravena
State
New York
Zip
12143-2804
Phone Number
518-756-7390
Fax Number
518-756-8030
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2008004918 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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