Individual
DR. ALLEN GOODMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 CANAL STREET, SUITE 206, NEW YORK, NY 10013
(732) 598-3310
(212) 349-2760
Mailing address
212 CANAL STREET, SUITE 206, CANAL RADIOLOGY, NEW YORK, NY 10013
(732) 598-3310
(212) 349-2760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
156910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00976430
—
NY
01
—
0144794
GHI
NY
01
—
059XH1
EMPIRE BCBS
NY
01
—
1520598
AETNA HMO
NY
01
—
4465156
AETNA PPO
NY
01
—
ANC835
OCFORD
NY
Enumeration date
09/05/2006
Last updated
05/16/2008
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