Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 291513 | NY |
N | 207R00000X | Internist | 291513 | NY |
N | 111NI0900X | Internist | 291513 | NY |
NPI | 1013357508 |
---|---|
Provider Name | Dr. Vikas Goswamy |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 13/07/2018 |