Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 60 249033 | NY |
NPI | 1427211366 |
---|---|
Provider Name | Dr. Heidi Erika Godoy |
First Address | Albany, NY 12208-1742 |
Second Address | Albany, NY 12208-1742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 21/10/2021 |