Individual
DANA C GOIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 MEMPHIS AVE, STATEN ISLAND, NY 10312-3404
(917) 209-6644
(718) 317-0686
Mailing address
104 MEMPHIS AVE, STATEN ISLAND, NY 10312-3404
(917) 209-6644
(718) 317-0686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345632
NY
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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