Goodacre, Mary E.

Goodacre, Mary E. is an individual health care provider with primary practice located at 11 Ralph Pl Ste 308 , Staten Island NY 10304-4419. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Goodacre, Mary E. can be contacted via phone (718) 981-6020.

Contact Information

Primary practice address
11 Ralph Pl Ste 308 Staten Island NY 10304-4419
Phone: (718) 981-6020
Fax: (718) 876-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 603 New York

Profile Details

NPI number 1467538553
LBN Legal business name Goodacre, Mary E.
Credentials M.A., CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 9th, 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 1467538553 NPPES
New York MEDICAID 02148901

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