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NPI Code Detail

MEDICARE: EDDIE GO M.D.

MEDICARE: EDDIE GO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0201XAllergy & Immunology (Internal Medicine) Physician185931NY
2207RI0200XInfectious Disease Physician185931NY

General Provider Information

NPI Number : 1568463545
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDDIE GO M.D.
Provider Business Mailing Address
First Line : 6200 BEACH CHANNEL DR
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1409
Country : US
Telephone Number : 718-460-8757
Fax Number : 718-358-1716
Provider Business Practice Location Address
First Line : 6200 BEACH CHANNEL DR
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1409
Country : US
Telephone Number : 718-460-8757
Fax Number : 718-358-1716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/01/2013

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Directions to “ EDDIE GO M.D.” Practice Location

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