Individual
ENISA GOLJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3503
(631) 968-3716
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3503
(631) 968-3716
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
241388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871691055
—
NY
Enumeration date
09/20/2006
Last updated
07/21/2022
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