Individual
CHRISTOPHER GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
255 HIGBIE LN, WEST ISLIP, NY 11795-2825
(631) 661-3180
(631) 661-3183
Mailing address
255 HIGBIE LN, WEST ISLIP, NY 11795-2825
(631) 661-3180
(631) 661-3183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028198-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100099830
MEDICARE ID
NY
Enumeration date
05/19/2006
Last updated
05/06/2025
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