Individual
BRIANA PAIGE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5704
(516) 210-8200
Mailing address
10440 QUEENS BLVD APT 2X, FOREST HILLS, NY 11375-8138
(516) 521-9451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
06/14/2018
Last updated
12/15/2022
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