Provider Demographics
NPI:1235374422
Name:GOEL, NEERJA (OD)
Entity Type:Individual
Prefix:DR
First Name:NEERJA
Middle Name:
Last Name:GOEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:NEERJA
Other - Middle Name:
Other - Last Name:GOEL-LYDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1097 ROUTE 55 STE 4
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5027
Mailing Address - Country:US
Mailing Address - Phone:845-471-7710
Mailing Address - Fax:845-471-7746
Practice Address - Street 1:1097 ROUTE 55 STE 4
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5027
Practice Address - Country:US
Practice Address - Phone:845-471-7710
Practice Address - Fax:845-471-7746
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005527-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist