Bruce S Goodman I, BOCP

NPI #1285236661 in Selden, New York

Provider Information

NPI Number
1285236661
Entity Type
Individual
Name
Bruce S Goodman I, BOCP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
BOCP
Enumeration Date
Nov 11, 2020
Last Updated
Nov 11, 2020

Practice Location

Address
280 MIDDLE COUNTRY RD STE G
City
Selden
ZIP Code
11784-2532
Phone
(631) 732-5556

Specialties & Taxonomy Codes

Specialty
Prosthetist

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