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General NPI Number Information
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NPI Number | 1720250335
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Entity Type | Organization
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Legal Business Name | HECTOR H. GOA, MD, PC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1623-41 THIRD AVENUE SUITE 201M, OFFICE #2
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-289-4839
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Fax | 845-365-3604
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Provider Business Mailing Address
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Address Line | 48 SOUTH BROADWAY, #826
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City | NYACK
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State | NY
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Zip | 10960
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Country | US
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Telephone | 212-289-4839
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Fax | 845-365-3604
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Authorized Official
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Title or Position | PRESIDENT
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Name | HECTOR H. GOA
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Credential | MD
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Telephone | 212-289-4839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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