SearchNew York208000000X

Shane Goda

NPI 1225532260 · on the registry since 2018 · sole proprietor

Practice

Address
325 Court St
Brooklyn, NY 11231
Phone
(212) 226-7666
Clinicians at this address
3

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York