Individual
KIMBERLY V GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 629-2467
(516) 629-2027
Mailing address
PO BOX 1061, PORT WASHINGTON, NY 11050-1061
(516) 629-2467
(516) 629-2027
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02734467
—
NY
Enumeration date
08/13/2006
Last updated
11/14/2008
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