Individual
STACY LYNN GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7530
Mailing address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7530
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
408354-1
NY
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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