Goodman, Mark A
Goodman, Mark A is an individual health care provider with primary practice located at 975 Stewart Ave , Garden City NY 11530-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goodman, Mark A can be contacted via phone (516) 222-8610.Contact Information
Primary practice address
975 Stewart Ave
Garden City NY 11530-4816
Phone: (516) 222-8610
Fax: (516) 745-5476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 101625 | New York |
Profile Details
| NPI number | 1427014810 |
|---|---|
| LBN Legal business name | Goodman, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Feb 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427014810 | NPPES |
| New York | MEDICAID | 00439107 |
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