Individual
DR. KYLE J GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 YORK AVE FL 12, NEW YORK, NY 10021-5663
(646) 962-2020
Mailing address
1305 YORK AVE, 11TH FLOOR, NEW YORK, NY 10021-5663
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
287321
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
A132536
CA
Other
Enumeration date
07/23/2013
Last updated
10/23/2023
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