Doctor Name: | MS. MICHELE ANN GOSS |
NPI Number: | 1346526696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 479079 |
Business Practice Address: | 22 Honey Ln Miller Place, NY - 117641820 |
Business Phone Number: | 6314761449 |
Business Fax Number: | |
Mailing Address: | 22 Honey Ln, MILLER PLACE |
State: | NY |
Postal Code: | 117641820 |
Phone Number: | 6314761449 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 479079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |