Individual
DR. MICHELINE GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1045 NORTHERN BLVD FL 2, ROSLYN, NY 11576-1502
(516) 279-2616
(516) 279-2632
Mailing address
800 NORTHERN BLVD STE 6, GREAT NECK, NY 11021-5314
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
315500
NY
Other
Enumeration date
05/18/2015
Last updated
06/13/2023
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