Individual provider · NPI-1

Dr. Goustina Adly, DO

Hospitalist · Middletown, NY

NPI number1689051054
StatusActive
Last updated in NPPESJul 5, 2019

Details

NPI
1689051054
Entity type
Individual (NPI-1)
Name
Dr. Goustina Adly
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2015
Last updated
Jul 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist298182NYYes
207R00000X Internal Medicine298182NY

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4057

Phone 845-703-6999 · Fax 845-703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4057

Phone 845-703-6999 · Fax 845-703-6297

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