Individual
SHARON GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 LAKEVILLE RD STE 105, NEW HYDE PARK, NY 11042-1102
(516) 465-5255
(718) 347-2240
Mailing address
410 LAKEVILLE RD STE 105, NEW HYDE PARK, NY 11042-1102
(516) 465-5255
(718) 347-2240
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381513
NY
Other
Enumeration date
09/13/2005
Last updated
07/09/2012
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