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NPI Code Detail

MEDICARE: MRS. MARGARET Y. GOODMAN LMSW

MEDICARE:  MRS. MARGARET Y. GOODMAN  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker082643NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356573737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET Y. GOODMAN LMSW
Provider Business Mailing Address
First Line : 564 MORICHES RD
Second Line :
City : SAINT JAMES
State : NY
Zip : 11780-1367
Country : US
Telephone Number : 516-380-9273
Fax Number : 866-662-5671
Provider Business Practice Location Address
First Line : 564 MORICHES RD
Second Line :
City : SAINT JAMES
State : NY
Zip : 11780-1367
Country : US
Telephone Number : 516-380-9273
Fax Number : 866-662-5671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2009
Last Update Date : 09/19/2015

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