Individual
DR. GOPAL KISHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HEMPSTEAD TPKE, SUITE 106, BETHPAGE, NY 11714-5700
(516) 520-5507
(516) 520-5493
Mailing address
22411 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2002
(718) 479-9598
(516) 520-5498
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
240234
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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