Gooden, Thalia

Gooden, Thalia is an individual health care provider with primary practice located at 70 Maple Ave , Smithtown NY 11787-3502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gooden, Thalia can be contacted via phone (631) 361-7526.

Contact Information

Primary practice address
70 Maple Ave Smithtown NY 11787-3502
Phone: (631) 361-7526
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001882 New York

Profile Details

NPI number 1942783543
LBN Legal business name Gooden, Thalia
Credentials Certified Midwife (CM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2018
Last updated Oct 3rd, 2019 - about 6 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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