Individual
ALYSSA GLORIA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, MEDICAL STAFF SERVICES MLC 2008, CINCINNATI, OH 45229-3026
(513) 636-6796
(513) 636-7967
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.141273
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
305424
NY
Other
Enumeration date
03/27/2017
Last updated
04/17/2025
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