Organization
BEACH PRIMARY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GOODMAN MD (PRESIDENT)
(516) 431-5064
Entity
Organization
Contact information
Practice address
340 W PARK AVE, LONG BEACH, NY 11561-3213
(516) 431-5064
(516) 432-4516
Mailing address
340 W PARK AVE, LONG BEACH, NY 11561-3213
(516) 431-5064
(516) 432-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
11/12/2014
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