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Individual

NICOLE GOULET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
525 E 68TH ST # 8, NEW YORK, NY 10065-4870
(646) 962-8490
Mailing address
525 E 68TH ST # 116, NEW YORK, NY 10065-4870
(646) 962-8490

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09930200
NJ
208600000X
Surgery Physician
292409-1
NY
2086S0102X
Surgical Critical Care Physician
25MA09930200
NJ
2086S0102X
Surgical Critical Care Physician
Primary
292409-1
NY
2086S0127X
Trauma Surgery Physician
25MA09930200
NJ
2086S0127X
Trauma Surgery Physician
292409-1
NY

Other

Enumeration date
06/20/2011
Last updated
12/11/2023
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