Goliber, Nikita

Goliber, Nikita is an sole proprietor health care provider with primary practice located at 4 Montgomery Hts , Waddington NY 13694-7712. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goliber, Nikita can be contacted via phone (153) 887-8723.

Contact Information

Primary practice address
4 Montgomery Hts Waddington NY 13694-7712
Phone: (153) 887-8723
Fax: (315) 713-6511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 339790 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339790 New York

Profile Details

NPI number 1972985612
LBN Legal business name Goliber, Nikita
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated May 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972985612 NPPES
New York MEDICAID 04179508

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