Individual
DR. MICHELLE HAYNES GOODGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9 BROOKSITE DR, SMITHTOWN, NY 11787-3400
(631) 390-7800
(631) 390-7821
Mailing address
9 BROOKSITE DR, SMITHTOWN, NY 11787-3400
(631) 390-7800
(631) 390-7821
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
253860
NY
Other
Enumeration date
07/01/2008
Last updated
06/11/2019
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