Goodwin, Stephanie L

Goodwin, Stephanie L is an individual health care provider with primary practice located at 310 Taughannock Blvd 4Th Floor, Ithaca NY 14850-3251. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Goodwin, Stephanie L can be contacted via phone (607) 269-0100.

Contact Information

Primary practice address
310 Taughannock Blvd 4Th Floor Ithaca NY 14850-3251
Phone: (607) 269-0100
Fax: (607) 269-0140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X C2-0008116 Delaware
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C2-0008116 Delaware

Profile Details

NPI number 1699740738
LBN Legal business name Goodwin, Stephanie L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699740738 NPPES
Virginia MEDICAID 010105340

Popular Providers