Individual
DR. ALLEN GOODMAN I
Active
Individual
DR. ALLEN GOODMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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