Individual
DR. ANDREW DAVID GOODWILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5207
(516) 723-2663
(516) 325-7190
Mailing address
611 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5207
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
260885
NY
Other
Enumeration date
05/22/2008
Last updated
08/21/2012
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