Jack Goodman, M.d. PC
NPI #1164654729 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1164654729
- Entity Type
- Organization
- Organization Name
- Jack Goodman, M.d. PC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 17, 2009
- Last Updated
- Aug 17, 2009
Practice Location
- Address
- 9 LIVINGSTON ST
- Address 2
- SUITE 9
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12601-4719
- Phone
- (845) 454-0415
Authorized Official
- Name
- DR. JACK GOODMAN, MD
- Title
- OWNER
- Phone
- (845) 454-0415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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