Individual
JUSTINE LOUISE GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
161 FT WASHINGTN AVE STE 862, NEW YORK, NY 10032-3729
(212) 305-1909
Mailing address
13122 FRANCIS LEWIS BLVD, LAURELTON, NY 11413-1843
(347) 822-3770
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
730504-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310887-01
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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