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Individual

LAURA GOODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
700 HARRISON AVE, RIVERHEAD, NY 11901-2780
(631) 369-6748
(631) 369-6831
Mailing address
6 SUMMIT DR, CALVERTON, NY 11933-1218

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
389992-1
NY

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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