Organization
HAZEL GOODWIN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL GOODWIN MD (DEVELOPMENTAL BEHAVIORAL PEDIATRICS)
(718) 272-6594
Entity
Organization
Contact information
Practice address
1979 ROCKAWAY PARKWAY, BROOKLYN, NY 11236
(718) 272-6594
(718) 701-4197
Mailing address
1979 ROCKAWAY PARKWAY, BROOKLYN, NY 11236
(718) 272-6594
(718) 701-4197
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
089641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356472
—
NY
Enumeration date
02/21/2008
Last updated
02/23/2009
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