Individual
DR. PREM C GOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 PENNSYLVANIA AVE, BROOKLYN, NY 11239-2103
(718) 642-6200
Mailing address
130 COACHMAN PL E, SYOSSET, NY 11791-3053
(516) 364-3832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
126914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00236677
—
NY
Enumeration date
04/10/2007
Last updated
07/08/2007
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