Individual
JOSEPH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(516) 428-5811
(516) 428-5811
Mailing address
147 CHARLES ST, EAST WILLISTON, NY 11596-2516
(516) 428-5811
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2689677
NY
Other
Enumeration date
12/22/2017
Last updated
03/17/2018
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