National Provider Identifier Database

LESEGO A GOBA, N.P – NPI #1871047894
Psychiatric/Mental Health


Contact Information

LESEGO A GOBA, N.P
7 GLOUCESTER DR
WHEATLEY HEIGHTS, NY11798-1207
Phone: 718-307-1577
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for LESEGO A GOBA

NPI Number 1871047894
Credentials N.P
Entity Individual
Enumeration date 08/08/2016
Last updated 11/20/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 40402072
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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