Provider Demographics
NPI:1598707416
Name:GOODMAN, NEIL C (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:C
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:360 NORTH BEDFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-218-8800
Mailing Address - Fax:914-218-8799
Practice Address - Street 1:360 NORTH BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-218-8800
Practice Address - Fax:914-218-8799
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY123096207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC08682Medicare UPIN