Santore-Goodman, Tracy

Santore-Goodman, Tracy is an individual health care provider with primary practice located at 29 Englewood Ave , East Greenbush NY 12061-3900. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Santore-Goodman, Tracy can be contacted via phone (518) 207-2680.

Contact Information

Primary practice address
29 Englewood Ave East Greenbush NY 12061-3900
Phone: (518) 207-2680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1518234749
LBN Legal business name Santore-Goodman, Tracy
Credentials M.S. CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - 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 1518234749 NPPES
New York MEDICAID 01409145

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