Individual
DAVID NEELAND GOODLIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(888) 750-2266
Mailing address
32 FAIRVIEW AVE, KINGSTON, NY 12401-4204
(845) 331-3265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
113075-01
NY
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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