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DR. MICHELINE GOULART M.D. NPI 1568840940


NPI Information

NPI: 1568840940
Provider Name: DR. MICHELINE GOULART, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
1045 NORTHERN BLVD FL 2
ROSLYN, NY
ZIP 11576
Phone: (516) 279-2616
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DR. Micheline Goulart, M.D. is a plastic and reconstructive surgery surgery in Roslyn, NY with 9 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Micheline Goulart, M.D. NPI is 1568840940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1045 NORTHERN BLVD FL 2
ROSLYN, NY
ZIP 11576-502
Phone: (516) 279-2616
Fax: (516) 279-2632

The NPI 1568840940 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 5/18/2015 and was last updated on 6/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery315500NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.