Individual
AIMEE TERESE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
4900 HEMPSTEAD TPKE, STE 102, FARMINGDALE, NY 11735-2028
(516) 605-1955
(516) 605-1956
Mailing address
4900 HEMPSTEAD TPKE, STE 102, FARMINGDALE, NY 11735-2028
(516) 605-1955
(516) 605-1956
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00286200
RAILROAD MEDICARE
NY
Enumeration date
04/05/2006
Last updated
07/19/2016
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