DR. Mary Trace Gover, MD is a student in an organized health care education training program in Bronx, NY with 13 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Mary Trace Gover, MD NPI is 1861770521. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2011
The provider's business location address is:
111 EAST 210TH STREET
BRONX, NY
ZIP 10467-005
Phone: (718) 920-4321
The NPI 1861770521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/29/2011 and was last updated on 7/29/2011.