Individual
NUMERIANO GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2468 BROOKSHIRE DR, NISKAYUNA, NY 12309-2822
(518) 372-5308
(518) 388-9926
Mailing address
2468 BROOKSHIRE DR, NISKAYUNA, NY 12309-2822
(518) 372-5308
(518) 388-9926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
111288-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632095
—
NY
Enumeration date
12/11/2006
Last updated
07/08/2007
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