| Hector H. Goa, Md, Pc | |
|
1623-41 Third Avenue Suite 201m, Office #2 New York NY 10028 | |
| (212) 289-4839 | |
| (845) 365-3604 |
| Full Name | Hector H. Goa, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1623-41 Third Avenue, New York, New York |
| Authorized Official Name and Position | Hector H. Goa (PRESIDENT) |
| Authorized Official Contact | 2122894839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector H. Goa, Md, Pc 48 South Broadway, #826 Nyack NY 10960 Ph: (212) 289-4839 | Hector H. Goa, Md, Pc 1623-41 Third Avenue Suite 201m, Office #2 New York NY 10028 Ph: (212) 289-4839 |
| NPI Number | 1720250335 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0244304350 |
|---|---|
| Medicare Enrollment ID | O20080807000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720250335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Hector H Goa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003835182 PECOS PAC ID: 0840181616 Enrollment ID: I20040322001287 |
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