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Contact Information

LESEGO A GOBA, N.P
7 GLOUCESTER DR
WHEATLEY HEIGHTS, NY11798-1207
 Phone: 718-307-1577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LESEGO A GOBA · (Male)

NPI # 1871047894
Status Active
Credentials N.P
Entity Individual
Enumeration date 08/08/2016
Last updated 11/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 40402072
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
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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