# GOOD WILL MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124103585
- **Authorized official:** MRS. SALLI LAUFER MD (ATTENDING HOSPITALIST)
- **Authorized official phone:** (718) 734-2345

## Contact information

- **Practice address:** 51 15 BEACH CHANNEL DRIVE, PENINSULA HOSPITAL, FAR ROCKAWAY, NY 11691-1074
- **Practice address phone:** (718) 734-2345
- **Practice address fax:** (718) 734-2808
- **Mailing address:** 158 WEST 27TH STREET, 11 FLOOR SOUTH, NEW YORK, NY 10001-6216
- **Mailing address phone:** (212) 524-7724
- **Mailing address fax:** (212) 543-8201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 207114 | NY | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020