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Individual

SARAH GOODMAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
633 3RD AVE FL 4, NEW YORK, NY 10017-6943
(718) 757-9912
Mailing address
633 3RD AVE FL 4, NEW YORK, NY 10017-6943
(718) 757-9912

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
294274
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05244899
NY
Enumeration date
02/25/2014
Last updated
08/06/2024
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