Richard A Goodman OD

NPI 1699830489 - Optometrist - 152W00000X

NPI Details
NPI 1699830489
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 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
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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.