Goodman, Warren J

Goodman, Warren J is an individual health care provider with primary practice located at 83 Maiden Ln Fl 6 , New York NY 10038-4812. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Goodman, Warren J can be contacted via phone (212) 780-2378.

Contact Information

Primary practice address
83 Maiden Ln Fl 6 New York NY 10038-4812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 003926 New York

Profile Details

NPI number 1558373217
LBN Legal business name Goodman, Warren J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558373217 NPPES
New York MEDICAID 00904201

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