MRS. Lisa Maria Gostkowski

NPI #1437250420 in Bay Shore, New York

Provider Information

NPI Number: 1437250420
Entity Type: Individual
Name: MRS. Lisa Maria Gostkowski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1855 UNION BLVD
Address 2: SUITE C
City: Bay Shore
State: New York
ZIP Code: 11706-7949
Phone: (631) 968-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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