Provider Demographics
NPI:1588818579
Name:GOODMAN, ARMOREL CATHERINE (MS, PT)
Entity type:Individual
Prefix:
First Name:ARMOREL
Middle Name:CATHERINE
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W HENRIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5010
Mailing Address - Country:US
Mailing Address - Phone:516-633-2325
Mailing Address - Fax:516-594-9353
Practice Address - Street 1:104 W HENRIETTA AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5010
Practice Address - Country:US
Practice Address - Phone:516-633-2325
Practice Address - Fax:516-594-9353
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008725-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist