Provider Demographics
NPI:1699351460
Name:GOKEY, ELAINA RUTH (DC)
Entity Type:Individual
Prefix:MS
First Name:ELAINA
Middle Name:RUTH
Last Name:GOKEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WEALTHA AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-1838
Mailing Address - Country:US
Mailing Address - Phone:315-491-6980
Mailing Address - Fax:
Practice Address - Street 1:200 WEALTHA AVE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-1838
Practice Address - Country:US
Practice Address - Phone:315-491-6980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program