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
Phone: (718) 272-6594
Fax: (718) 395-3928
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992873145 | NPPES |
New York | MEDICAID | 01356472 |
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