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Individual

DR. CORRIE ELIZABETH GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
307 6TH AVE, NEW YORK, NY 10014-4403
(212) 255-5054
Mailing address
172 E 92ND ST APT 5A, NEW YORK, NY 10128-2404

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050869
NY

Other

Enumeration date
02/15/2008
Last updated
02/15/2008
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