SearchNew York390200000X

Jacklyn Goncalves

NPI 1396490538 · on the registry since 2022

Practice

Address
70 Grand Ave
Massapequa, NY 11758
Phone
(516) 799-3203
Organisation at this address
Massapequa Dermatology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-16

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