Individual
DEBBIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 85TH ST, NEW YORK, NY 10028-3001
(212) 241-6585
Mailing address
1 GUSTAVE L LEVY PL # 3000, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
286802
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
04/05/2018
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