Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N004738 | NY |
NPI | 1093710865 |
---|---|
Provider Name | Dr. Emilio A Goez |
First Address | Freeport, NY 11520-3357 |
Second Address | Freeport, NY 11520-3357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 13/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U33877 | (02) | NY |