Individual
MRS. BETH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 SHERIDAN DR, BUFFALO, NY 14223-1222
(716) 541-9102
Mailing address
46 MOUNTAIN ASH TRL, WEBSTER, NY 14580-1867
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0035110
NY
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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