| Mr Lesego A Goba, NP | |
|
7 Gloucester Dr, Wheatley Heights, NY 11798-1207 | |
| (718) 307-1577 | |
| Not Available |
| Full Name | Mr Lesego A Goba |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 7 Gloucester Dr, Wheatley Heights, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871047894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 40402072 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Point Medical Pc | 0749690741 | 20 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | East Point Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518571751 PECOS PAC ID: 0749690741 Enrollment ID: O20201103000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lesego A Goba, NP 7 Gloucester Dr, Wheatley Heights, NY 11798-1207 Ph: (718) 307-1577 | Mr Lesego A Goba, NP 7 Gloucester Dr, Wheatley Heights, NY 11798-1207 Ph: (718) 307-1577 |
Mr. Randall Garth Ryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Barrington Dr, Wheatley Heights, NY 11798 Phone: 347-247-4491 | |
Claudette Minto Ryan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Valley Forge Dr, Wheatley Heights, NY 11798 Phone: 646-522-3502 Fax: 631-920-0976 | |
Joel Daniel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Manchester Blvd, Wheatley Heights, NY 11798 Phone: 646-463-2975 | |
Vanessa Deshommes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 N 18th St, Wheatley Heights, NY 11798 Phone: 631-482-6281 |