Goodman, Gail R

Goodman, Gail R is an individual health care provider with primary practice located at 3675 Southwestern Blvd , Orchard Park NY 14127-1732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goodman, Gail R can be contacted via phone (716) 972-0279.

Contact Information

Primary practice address
3675 Southwestern Blvd Orchard Park NY 14127-1732
Phone: (716) 972-0279
Fax: (716) 972-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 194330 New York

Profile Details

NPI number 1568442465
LBN Legal business name Goodman, Gail R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 26th, 2014 - about 12 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 1568442465 NPPES
New York Other 00010065904 UNIVERA
New York MEDICAID 01477605 UNIVERA
New York Other 040426002662 UNIVERA
New York Other 1211151 UNIVERA
New York Other 147716DL UNIVERA
New York Other 479993 UNIVERA
New York Other 000524370006 UNIVERA

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