Goodenough, Mark

Goodenough, Mark is an individual health care provider with primary practice located at 256C Mason Ave , Staten Island NY 10305-3408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Goodenough, Mark can be contacted via phone (718) 226-1251.

Contact Information

Primary practice address
256C Mason Ave Staten Island NY 10305-3408
Phone: (718) 226-1251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 063143 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 311698 New York

Profile Details

NPI number 1154858033
LBN Legal business name Goodenough, Mark
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Jun 26th, 2024 - about 3 months 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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