Individual
ANDREW GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 WALL ST STE 101, HUNTINGTON, NY 11743-2186
(631) 351-2024
Mailing address
224 WALL ST STE 101, HUNTINGTON, NY 11743-2186
(631) 351-2024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
281377-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
01/19/2019
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