Walter Goodman, Sandra
Walter Goodman, Sandra is an individual health care provider with primary practice located at 111 East 210Th Street , Bronx NY 10467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Walter Goodman, Sandra can be contacted via phone (718) 920-8215.Contact Information
Primary practice address
111 East 210Th Street
Bronx NY 10467
Phone: (718) 920-8215
Fax: (718) 547-2902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | F302161 | New York |
Profile Details
| NPI number | 1710046495 |
|---|---|
| LBN Legal business name | Walter Goodman, Sandra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Dec 29th, 2014 - 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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