Individual
ASHLEY NICOLE GOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
45 UNIVERSITY DR, RONKONKOMA, NY 11779-1904
(516) 456-6538
Mailing address
45 UNIVERSITY DR, RONKONKOMA, NY 11779-1904
(516) 456-6538
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383171
NY
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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