Individual provider · Type 1 NPI

Shane Gopaul

Student in an Organized Health Care Education/Training Program · Johnson City, NY

NPI number 1750060752 Active

Practice location

507 Main St
Johnson City, NY 13790-1810

Call (607) 763-6075 Map

Fax (607) 763-5234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1750060752

Shane Gopaul's National Provider Identifier is 1750060752, issued on Jul 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, NY. The record was last updated on Jul 17, 2023.