Individual
MS. CELIA ILENE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
588 BROAD ST, ONEIDA, NY 13421
(315) 363-9281
(315) 363-9286
Mailing address
701 LENOX AVE, ONEIDA, NY 13421
(315) 363-9281
(315) 363-9286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4663281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02200466328
—
NY
Enumeration date
10/31/2007
Last updated
10/31/2007
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