Kenneth Goodman M.D.

NPI 1730382714 - Anesthesiology - 207L00000X

NPI Details
NPI 1730382714
Gender Female
Enumeration Date 06/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1615 NORTHERN BLVD
MANHASSET NY, 11030, US
Phone (718) 217-2896
Fax (718) 217-4471
Business Location
345 BIRDSALL DRIVE
YORKTOWN HEIGHTS NY, 10598, US
Phone (718) 217-2896
Fax (718) 217-4471
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 157166-1
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According to our database, Kenneth Goodman M.D. NPI is 1730382714, taxonomy code is 207L00000X and license number is 157166-1, license state is located at New York. Kenneth Goodman M.D. physically located at 1615 Northern Blvd, Manhasset NY, 11030. NPI Number Kenneth Goodman M.D. has the Individual type.

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1730382714 NPI number is provided on an as is basis without warranty of any kind. 1730382714 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Goodman M.D. are for informational purposes only.