Organization
ANGELA M. GODWIN, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBRA RODRIGUEZ (PRACTICE MANAGER)
(646) 457-8127
Entity
Organization
Contact information
Practice address
1469 ASTOR AVE, BRONX, NY 10469-5846
(347) 871-3774
Mailing address
12001 AVALON LAKE DR APT 326, ORLANDO, FL 32828-7379
(646) 457-8127
(347) 824-2978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F335139-1
NY
Other
Enumeration date
05/23/2014
Last updated
05/02/2022
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