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Individual

ENRIQUETA A GODOY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5925 KISSENA BLVD, FLUSHING, NY 11355-5547
(718) 670-6100
(718) 670-6110
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
148211
NY

Other

Enumeration date
05/18/2006
Last updated
07/08/2007
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