Individual
ROBERT GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 ROANOKE AVE, RIVERHEAD, NY 11901-2029
(631) 727-2755
(631) 727-2852
Mailing address
1333 ROANOKE AVE, RIVERHEAD, NY 11901
(631) 727-2755
(631) 727-2852
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
158053
NY
Other
Enumeration date
06/13/2006
Last updated
08/27/2014
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