Goodwillie, Andrew David
Goodwillie, Andrew David is an sole proprietor health care provider with primary practice located at 611 Northern Blvd Suite 200, Great Neck NY 11021-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Goodwillie, Andrew David can be contacted via phone (516) 723-2663.Contact Information
Primary practice address
611 Northern Blvd Suite 200
Great Neck NY 11021-5207
Phone: (516) 723-2663
Fax: (516) 325-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 260885 | New York |
Profile Details
| NPI number | 1710144191 |
|---|---|
| LBN Legal business name | Goodwillie, Andrew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2008 |
| Last updated | Aug 21st, 2012 - about 13 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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