Individual
DR. HECTOR H GOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1623 3RD AVE STE 201, NEW YORK, NY 10128-3638
(212) 289-4839
(845) 365-3604
Mailing address
160 HIGH AVE, NYACK, NY 10960-2503
(212) 289-4839
(845) 365-3604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135882
NY
2084P0804X
Child & Adolescent Psychiatry Physician
135882-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706881
—
NY
01
—
39D161
MEDICARE
NY
Enumeration date
07/19/2006
Last updated
02/20/2024
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