Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 109886 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 109886 | NY |
NPI | 1124021837 |
---|---|
Provider Name | Dr. Veena Goel |
First Address | Albany, NY 12212-4890 |
Second Address | Stillwater, NY 12170-3439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 19/05/2021 |