Individual
CYNTHIA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 UNION ST, SCHENECTADY, NY 12309-6003
(518) 346-7303
Mailing address
1509 UNION ST, SCHENECTADY, NY 12309-6003
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
F400308-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400308-1
LICENSCE NUMBER
NY
Enumeration date
04/04/2007
Last updated
03/07/2023
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