Goodman, Warren J
Goodman, Warren J is an individual health care provider with primary practice located at 83 Maiden Ln Fl 6 , New York NY 10038-4812. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Goodman, Warren J can be contacted via phone (212) 780-2378.Contact Information
Primary practice address
83 Maiden Ln Fl 6
New York NY 10038-4812
Phone: (212) 780-2378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 003926 | New York |
Profile Details
| NPI number | 1558373217 |
|---|---|
| LBN Legal business name | Goodman, Warren J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Sep 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558373217 | NPPES |
| New York | MEDICAID | 00904201 |
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