Provider Demographics
NPI:1114948015
Name:AMEET GOYAL MD PC
Entity Type:Organization
Organization Name:AMEET GOYAL MD PC
Other - Org Name:RYE EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMEET
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-552-8955
Mailing Address - Street 1:167 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2137
Mailing Address - Country:US
Mailing Address - Phone:914-552-8955
Mailing Address - Fax:914-921-6498
Practice Address - Street 1:167 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2137
Practice Address - Country:US
Practice Address - Phone:914-552-8955
Practice Address - Fax:914-921-6498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199483174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT180000913OtherCT MEDICARE P-TAN
CT180000913OtherCT MEDICARE P-TAN