Individual
DANIELLE MARIE GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11440 VAN WYCK EXPY, SOUTH OZONE PARK, NY 11420-2229
(718) 322-3455
(718) 848-4152
Mailing address
11440 VAN WYCK EXPY, SOUTH OZONE PARK, NY 11420-2229
(718) 322-3455
(718) 848-4152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324048
NY
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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