Susan M Goodman, MD
Specialist in New York, NY. Individual provider (NPI-1).
NPI number1790748812
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1790748812
- Entity type
- Individual (NPI-1)
- Name
- Susan M Goodman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2006
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 135777 | NY | Yes |
Practice location
535 E 70th StNew York, NY 10021-4872
Phone 212-606-1163 · Fax 212-472-6567
Mailing address
535 E 70th StNew York, NY 10021-4872
Phone 212-606-1163 · Fax 212-472-6567
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