MR. Tiras Goodwin, RN
NPI #1013433036 in South Richmond Hill, New York
Provider Information
- NPI Number
- 1013433036
- Entity Type
- Individual
- Name
- MR. Tiras Goodwin, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Aug 22, 2017
Practice Location
- Address
- 10154 117TH ST
- State
- New York
- ZIP Code
- 11419-1906
- Phone
- (718) 846-4007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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