Goodman, Joan D

Goodman, Joan D is an individual health care provider with primary practice located at 1 Theall Rd , Rye NY 10580-1404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Goodman, Joan D can be contacted via phone (914) 848-8850.

Contact Information

Primary practice address
1 Theall Rd Rye NY 10580-1404
Fax: (914) 682-6403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 124685 New York

Profile Details

NPI number 1417919440
LBN Legal business name Goodman, Joan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 26th, 2008 - about 16 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 1417919440 NPPES
New York MEDICAID 00696442

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