Individual
JAIME GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.PED
Contact information
Practice address
1659 CENTRAL AVE, ALBANY, NY 12205-4050
(518) 869-0021
Mailing address
22 MOSS RD, VOORHEESVILLE, NY 12186-5042
(518) 653-2355
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED1770
NY
225000000X
Orthotic Fitter
CPED1770
NY
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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