Basic Information
Provider Information
NPI: 1558510669
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOYAL
FirstName: RISHI
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 622 W 168TH ST PH 1-137
Address2: EMERGENCY MEDICINE SERVICES
City: NEW YORK
State: NY
PostalCode: 100323720
CountryCode: US
TelephoneNumber: 2123052995
FaxNumber: 2123056792
Practice Location
Address1: 622 W 168TH ST PH 1-137
Address2: EMERGENCY MEDICINE SERVICES
City: NEW YORK
State: NY
PostalCode: 100323720
CountryCode: US
TelephoneNumber: 2123052995
FaxNumber: 2123056792
Other Information
ProviderEnumerationDate: 09/12/2008
LastUpdateDate: 06/29/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X241124NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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