Individual
MITCHEL GOODKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 WANTAGH AVENUE, SUITE 103, WANTAGH, NY 11793
(631) 316-1007
Mailing address
1400 WANTAGH AVENUE, SUITE 103, WANTAGH, NY 11793
(631) 316-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007212
NY
Other
Enumeration date
07/12/2024
Last updated
09/09/2024
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