National Provider Identifier

Henry Frederick Goller, M.D.

Henry Frederick Goller, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Orchard Park, NY and a listed phone number of (716) 662-3871.

NPI 1649597949Orchard Park, NYDiagnostic Radiology Physician

Profile Overview

NPI
1649597949
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
April 26, 2010
Last Updated
April 26, 2010

Practice Location

  • 40 Brookins Green Dr
  • Orchard Park, NY 14127-2558

Phone: (716) 662-3871

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1649597949
Entity Type
Individual
Last Name
Goller
First Name
Henry
Middle Name
Frederick
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
40 Brookins Green Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2558
Mailing Country
US
Mailing Phone
(716) 662-3871
Practice Street Address
40 Brookins Green Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2558
Practice Country
US
Practice Phone
(716) 662-3871
Enumeration Date
April 26, 2010
Last Updated
April 26, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)