Individual
KRISTINA M GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 BROAD ROAD, STE 2B NORTH, SYRACUSE, NY 13215
(315) 492-5036
(315) 492-5477
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17318
FL
208600000X
Surgery Physician
Primary
307194
NY
208C00000X
Colon & Rectal Surgery Physician
307194
NY
Other
Enumeration date
05/23/2012
Last updated
09/23/2020
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