Organization
GOOD WILL MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A GALVIN M.D. (DIRECTOR)
(212) 563-2497
Entity
Organization
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(212) 563-2497
(212) 563-0605
Mailing address
158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
(212) 563-2497
(212) 563-0605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02167279
—
NY
Enumeration date
08/30/2006
Last updated
06/30/2009
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