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Individual
DR. ROBERT GOODMAN
Active
Individual
DR. ROBERT GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
156373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884437
—
NY
01
—
19090P
HIP
NY
Enumeration date
05/16/2006
Last updated
04/11/2012
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