Individual
DEBORAH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4001
(212) 938-5831
Mailing address
3 JODI CT, MONSEY, NY 10952-1115
(845) 304-7542
(845) 354-0208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556192
—
NY
Enumeration date
05/15/2006
Last updated
06/24/2010
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