Healthcare Provider Details

I. General information

NPI: 1144760356
Provider Name (Legal Business Name): CHRISTINE L GO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7031A 108TH ST STE 6
FOREST HILLS NY
11375-4445
US

IV. Provider business mailing address

7031A 108TH ST STE 6
FOREST HILLS NY
11375-4445
US

V. Phone/Fax

Practice location:
  • Phone: 646-919-9339
  • Fax:
Mailing address:
  • Phone: 646-919-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340885-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF340885
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: