Goodman, Michael Jay

Goodman, Michael Jay is an individual health care provider with primary practice located at 12301 82Nd Rd , Kew Gardens NY 11415-1601. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goodman, Michael Jay can be contacted via phone (718) 261-6303.

Contact Information

Primary practice address
12301 82Nd Rd Kew Gardens NY 11415-1601
Phone: (718) 261-6303
Fax: (718) 261-0307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 031052 New York

Profile Details

NPI number 1841283108
LBN Legal business name Goodman, Michael Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 19 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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