Individual
DR. ALAN JAY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 86TH ST APT 8C, NEW YORK, NY 10028-7514
(973) 283-5864
(888) 873-3987
Mailing address
525 E 86TH ST APT 8C, NEW YORK, NY 10028-7514
(973) 283-5864
(888) 873-3987
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
165206
NY
207K00000X
Allergy & Immunology Physician
MA52824
NJ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
165206
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
25MA5282400
NJ
Other
Enumeration date
06/16/2005
Last updated
01/29/2021
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