Goldwyn, Joan C

Goldwyn, Joan C is an individual health care provider with primary practice located at 274 Tompkins Street , Cortland NY 13045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goldwyn, Joan C can be contacted via phone (607) 756-9886.

Contact Information

Primary practice address
274 Tompkins Street Cortland NY 13045
Phone: (607) 756-9886
Fax: (607) 756-8939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0024541 New York

Profile Details

NPI number 1063503415
LBN Legal business name Goldwyn, Joan C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063503415 NPPES
New York Other 002454 BCBS FOR ALL BCBS
New York Other 002454 BCBS FOR ALL BCBS
New York MEDICAID 00750147 BCBS FOR ALL BCBS

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