Individual
DR. TAMARA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11247 QUEENS BLVD STE 206, FOREST HILLS, NY 11375-7421
(718) 544-4200
Mailing address
11247 QUEENS BLVD STE 206, FOREST HILLS, NY 11375-7421
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
149091
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
299984
NY
Other
Enumeration date
06/04/2015
Last updated
05/13/2021
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