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Individual
MR. TIRAS GOODWIN
Active
Individual
MR. TIRAS GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737484
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408817
NY
Other
Enumeration date
08/22/2017
Last updated
07/14/2026
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