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Individual

THOMAS L. GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2125 RIVER ROAD, SUITE 100, NISKAYUNA, NY 12309
(518) 836-3030
(518) 836-3020
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
157963
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00846231
NY
Enumeration date
09/28/2005
Last updated
02/03/2014
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