Goodman, Stephen

Goodman, Stephen is an individual health care provider with primary practice located at 500 New Hempstead Rd , New City NY 10956-1132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goodman, Stephen can be contacted via phone (845) 362-3200.

Contact Information

Primary practice address
500 New Hempstead Rd New City NY 10956-1132
Fax: (845) 362-4464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 198340 New York

Profile Details

NPI number 1154325744
LBN Legal business name Goodman, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Dec 6th, 2007 - about 17 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 1154325744 NPPES
New York MEDICAID 01702836

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