Goodman, Shirley
Goodman, Shirley is an sole proprietor health care provider with primary practice located at 43 Crossways Park Dr , Woodbury NY 11797-2002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Goodman, Shirley can be contacted via phone (516) 938-3000.Contact Information
Primary practice address
43 Crossways Park Dr
Woodbury NY 11797-2002
Phone: (516) 938-3000
Fax: (516) 938-3239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 162284 | New York |
Profile Details
| NPI number | 1184667750 |
|---|---|
| LBN Legal business name | Goodman, Shirley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 18th, 2010 - about 14 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 | 1184667750 | NPPES |
| New York | MEDICAID | 01297387 |
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