| NPI Details | |
|---|---|
| NPI | 1699830489 |
| Gender | Male |
| Enumeration Date | 12/22/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 63 E MAIN ST PAWLING NY, 12564, US |
|
| Phone | (845) 855-1155 |
| Fax | |
| Business Location | |
|---|---|
| 63 E MAIN ST PAWLING NY, 12564, US |
|
| Phone | (845) 855-1155 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | New York |
| License Number | 2501 |
| Remove 1699830489 NPI Number | |
According to our database, Richard A Goodman OD NPI is 1699830489, taxonomy code is 152W00000X and license number is 2501, license state is located at New York. Richard A Goodman OD physically located at 63 E Main St, Pawling NY, 12564. NPI Number Richard A Goodman OD has the Individual type.
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1699830489 NPI number is provided on an as is basis without warranty of any kind. 1699830489 is maintained by the National Plan & Provider Enumeration System. The contents of Richard A Goodman OD are for informational purposes only.
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