Goswamy, Ichcha
Goswamy, Ichcha is an individual health care provider with primary practice located at 300 Bay Shore Rd , North Babylon NY 11703-2823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goswamy, Ichcha can be contacted via phone (631) 586-2700.Contact Information
Primary practice address
300 Bay Shore Rd
North Babylon NY 11703-2823
Phone: (631) 586-2700
Fax: (631) 586-3524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 136782 | New York |
Profile Details
| NPI number | 1922051952 |
|---|---|
| LBN Legal business name | Goswamy, Ichcha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Oct 8th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922051952 | NPPES |
| New York | MEDICAID | 00941497 |
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