Provider Demographics
NPI:1720285588
Name:GOLIA, MICHAEL VINCENT (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:VINCENT
Last Name:GOLIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1113
Mailing Address - Country:US
Mailing Address - Phone:516-222-4840
Mailing Address - Fax:516-222-4885
Practice Address - Street 1:990 STEWART AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:516-222-4840
Practice Address - Fax:516-222-4885
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2016-01-08
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Provider Licenses
StateLicense IDTaxonomies
NY243115-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology