Goodwin, Hazel

Goodwin, Hazel is an sole proprietor health care provider with primary practice located at 1979 Rockaway Parkway , Brooklyn NY 11236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Goodwin, Hazel can be contacted via phone (718) 272-6594.

Contact Information

Primary practice address
1979 Rockaway Parkway Brooklyn NY 11236
Fax: (718) 395-3928
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 089641 New York

Profile Details

NPI number 1992873145
LBN Legal business name Goodwin, Hazel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated May 29th, 2013 - about 11 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 1992873145 NPPES
New York MEDICAID 01356472

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