National Provider Identifier

Hayden R Goltz, DO

Hayden R Goltz, DO is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Webster, NY and a listed phone number of (585) 787-4407.

NPI 1144202482Webster, NYInternal Medicine Physician

Profile Overview

NPI
1144202482
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
November 14, 2005
Last Updated
April 25, 2011

Practice Location

  • 1130 Crosspointe Ln
  • Suite 8
  • Webster, NY 14580-2986

Phone: (585) 787-4407

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1144202482
Entity Type
Individual
Last Name
Goltz
First Name
Hayden
Middle Name
R
Credential
DO
Mailing Street Address
1130 Crosspointe Ln
Mailing Address Line 2
Suite 8
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2986
Mailing Country
US
Mailing Phone
(585) 787-4407
Mailing Fax
(585) 787-4428
Practice Street Address
1130 Crosspointe Ln
Practice Address Line 2
Suite 8
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2986
Practice Country
US
Practice Phone
(585) 787-4407
Practice Fax
(585) 787-4428
Enumeration Date
November 14, 2005
Last Updated
April 25, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
02424546 (NY)