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Individual

DEBRA GOODMAN

Active
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Individual

DEBRA GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN722357
PA
363L00000X
Nurse Practitioner
Primary
SP020941
PA
363LF0000X
Family Nurse Practitioner
APRN11024313
FL
363LF0000X
Family Nurse Practitioner
F339595
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/24/2014
Last updated
07/12/2023
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