Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 001538 | NY |
Y | 208600000X | Surgeon | 001538 | NY |
N | 2086S0102X | Surgical Critical Care | 001538 | NY |
NPI | 1023109394 |
---|---|
Provider Name | Dr. Alan R. Go |
First Address | Brooklyn, NY 11201-5425 |
Second Address | Brooklyn, NY 11201-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 09/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H54344 | (02) |