Individual
DR. ADAM GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
440 E 57TH ST, SUITE 1A, NEW YORK, NY 10022-3045
(212) 688-4663
(212) 688-1270
Mailing address
440 E 57TH ST, SUITE 1A, NEW YORK, NY 10022-3045
(212) 688-4663
(212) 688-1270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042587
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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