Individual
JOAN D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 THEALL RD, RYE, NY 10580-1404
(914) 848-8850
(914) 682-6403
Mailing address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-6538
(914) 682-6403
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
124685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00696442
—
NY
Enumeration date
04/05/2006
Last updated
08/26/2008
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