Individual
FAY ELIZABETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 NORTH BROADWAY, SUITE 305, SLEEPY HOLLOW, NY 10591
(914) 366-5420
(914) 366-5421
Mailing address
14 PRESERVE COURT, WHITE PLAINS, NY 10607
(201) 954-6689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F345941
NP STATE LICENSE
NY
Enumeration date
10/21/2020
Last updated
01/22/2025
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