Individual
CHAYA LEAH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
233 DOUGHTY BLVD, INWOOD, NY 11096-2104
(516) 336-9005
Mailing address
254 BEACH 13TH ST, FAR ROCKAWAY, NY 11691-5506
(917) 541-9173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
02/18/2026
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