Individual
RICHARD A GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
63 E MAIN ST, PAWLING, NY 12564
(845) 855-1155
Mailing address
63 E MAIN ST, PAWLING, NY 12564
(845) 855-1155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2501
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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