Goodman, Philllip

Goodman, Philllip is an sole proprietor health care provider with primary practice located at 204 Main Street Shop Ctr , Waterloo NY 13165-1454. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Goodman, Philllip can be contacted via phone (315) 539-1209.

Contact Information

Primary practice address
204 Main Street Shop Ctr Waterloo NY 13165-1454
Phone: (315) 539-1209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 010346 New York

Profile Details

NPI number 1760072896
LBN Legal business name Goodman, Philllip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2021
Last updated Jan 22nd, 2021 - 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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