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Individual

MS. BEATRICE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN RN

Contact information

Practice address
126 STANTON BLVD, UNIONDALE, NY 11553-2733
(631) 796-4716
Mailing address
126 STANTON BLVD, UNIONDALE, NY 11553-2733
(631) 796-4716

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
517212
NY

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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