Yesica Govin
Specialist in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1801558697
StatusActive
Last updated in NPPESOct 8, 2021
Details
- NPI
- 1801558697
- Entity type
- Individual (NPI-1)
- Name
- Yesica Govin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2021
- Certification date
- Oct 8, 2021
- Last updated
- Oct 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
6143 186th StFresh Meadows, NY 11365-2710
Phone 516-835-9212
Mailing address
6143 186th StFresh Meadows, NY 11365-2710
Phone 516-835-9212
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