Individual
ERIN ELIZABETH GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 110TH ST, TROY, NY 12182-3036
(518) 233-6823
(518) 235-3837
Mailing address
70 110TH ST, TROY, NY 12182-3036
(518) 233-6823
(518) 235-3837
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426604
—
NY
Enumeration date
12/17/2024
Last updated
12/17/2024
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