Individual
LISA GOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 741-2460
(718) 652-6692
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
311011-01
NY
2080P0203X
Pediatric Critical Care Medicine Physician
311011-01
NY
Other
Enumeration date
04/06/2018
Last updated
02/10/2026
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