Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 016223 | NY |
NPI | 1558688085 |
---|---|
Provider Name | Ms. Allyson Ann Goff |
First Address | Lancaster, NY 14086-1850 |
Second Address | Lancaster, NY 14086-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 23/04/2010 |