Provider Demographics
NPI:1558486555
Name:GO, RODERICK AU YEUNG (DO)
Entity Type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:AU YEUNG
Last Name:GO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:HSC T16-020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-8242
Mailing Address - Fax:631-444-7518
Practice Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Practice Address - Street 2:HSC T16-020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-8242
Practice Address - Fax:631-444-7518
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2016-02-02
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Provider Licenses
StateLicense IDTaxonomies
NY231317207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease