Individual
MRS. LILLIAN GOODBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
200 LITTLE PLAINS RD., HUNTINGTON, NY 11743
(631) 754-2900
Mailing address
200 LITTLE PLAINS RD., HUNTINGTON, NY 11743
(631) 754-2900
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
485125-1
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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