Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 19032011 | NY |
NPI | 1063025294 |
---|---|
Provider Name | Dr. Shipra Goel |
First Address | Buffalo, NY 14203-1121 |
Second Address | Buffalo, NY 14203-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2020 |
Last Update Date | 27/08/2020 |