Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264827 | NY |
N | 111NI0900X | Internist | 264827 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 264827 | NY |
NPI | 1265729792 |
---|---|
Provider Name | Erin J Goss |
First Address | Bronx, NY 10467-2401 |
Second Address | Bronx, NY 10451-3535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 15/04/2021 |