Individual
GOLDIEANN D MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM, MS
Contact information
Practice address
STONY BROOK UNIVERSITY MED CTR DEPT OBS/GYN, HSC T9-030, STONY BROOK, NY 11794-8091
(631) 444-8401
(631) 444-8954
Mailing address
STONY BROOK UNIVERSITY MED CTR DEPT OBS/GYN, HSC T9-030, STONY BROOK, NY 11794-8091
(631) 444-8401
(631) 444-8954
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001114-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02555957
—
NY
Enumeration date
09/26/2006
Last updated
10/05/2007
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