DR. Steven I Goodman, O.D.

NPI #1316146673 in Medford, New York

Provider Information

NPI Number: 1316146673
Entity Type: Individual
Name: DR. Steven I Goodman, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 16, 2007
Last Updated: Nov 18, 2009

Practice Location

Address: 1643 ROUTE 112 STE A
City: Medford
State: New York
ZIP Code: 11763-3654
Phone: (631) 758-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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