JACK GOODMAN M.D. PC NPI 1164654729

NPI Information

NPI: 1164654729
Provider Name: JACK GOODMAN, M.D. PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9 LIVINGSTON ST
SUITE 9
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 454-0415
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JACK GOODMAN, M.D. PC is a specialist in Poughkeepsie, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JACK GOODMAN, M.D. PC NPI is 1164654729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 LIVINGSTON ST
SUITE 9
POUGHKEEPSIE, NY
ZIP 12601-719
Phone: (845) 454-0415
Fax: (845) 454-0914

The provider's authorized official is Jack Goodman .
The authorized official title is Owner and has the following contact phone number (845) 454-0415.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		086055	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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