Goodman, Bruce S

Goodman, Bruce S is an individual health care provider with primary practice located at 280 Middle Country Rd Ste G , Selden NY 11784-2532. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Goodman, Bruce S can be contacted via phone (631) 732-5556.

Contact Information

Primary practice address
280 Middle Country Rd Ste G Selden NY 11784-2532
Phone: (631) 732-5556
Fax: (631) 732-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X New York

Profile Details

NPI number 1285236661
LBN Legal business name Goodman, Bruce S
Credentials BOCP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 4 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 1285236661 NPPES
New York MEDICAID 00615045

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