Provider Demographics
NPI:1659842110
Name:GOULD, DAVID DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DONALD
Last Name:GOULD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 DUTCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:NY
Mailing Address - Zip Code:13340-4904
Mailing Address - Country:US
Mailing Address - Phone:315-404-3868
Mailing Address - Fax:
Practice Address - Street 1:194 DUTCH HILL RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:NY
Practice Address - Zip Code:13340-4904
Practice Address - Country:US
Practice Address - Phone:315-404-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013183111N00000X
NY006826171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist