Individual
MS. KRISTIN GOODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 E 108TH ST APT 5, NEW YORK, NY 10029-3635
(585) 576-0247
Mailing address
170 E 108TH ST APT 5, NEW YORK, NY 10029-3635
(585) 576-0247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023617-01
NY
Other
Enumeration date
07/31/2019
Last updated
11/27/2023
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