Individual
MARVIN EARL GOODWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2470 ALLEN AVE, NIAGARA FALLS, NY 14303-1908
(716) 285-3421
Mailing address
1387 KENSINGTON AVE, BUFFALO, NY 14215-1724
(716) 390-9447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P137170
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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