Individual
DR. MARK P GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5620
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
151135
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968850
—
NY
Enumeration date
06/10/2006
Last updated
02/16/2017
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