Provider Demographics
NPI:1063571529
Name:GO, LINA C (MD)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:C
Last Name:GO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5550
Mailing Address - Country:US
Mailing Address - Phone:718-579-6010
Mailing Address - Fax:718-579-4822
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-6011
Practice Address - Fax:718-579-4822
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY137080207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine