Individual
MRS. YAEL SHOSHANA GOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
58 MAIN ST, EAST ROCKAWAY, NY 11518-1929
(516) 599-7353
(516) 599-7325
Mailing address
256 GROVE AVE, CEDARHURST, NY 11516-1716
(516) 295-0415
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381799
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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