Individual
ELIZABETH SUSAN GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3795 CROMPOND RD, CORTLANDT MANOR, NY 10567-7214
(800) 633-8446
(888) 502-6582
Mailing address
3795 CROMPOND RD, CORTLANDT MANOR, NY 10567-7214
(800) 633-8446
(888) 502-6582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10468000
NJ
208600000X
Surgery Physician
Primary
295407
NY
208600000X
Surgery Physician
MD459926
PA
Other
Enumeration date
06/05/2012
Last updated
01/25/2019
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