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Marilyn D Goodman, REGISTEREDNURSE
School Registered Nurse in Newark, New York
NPI 1124263322

Marilyn D Goodman is a School Registered Nurse based in Lyons, NY and is specialized in School. Marilyn D Goodman practices in Newark, NY and has the professional credentials of REGISTEREDNURSE. The NPI Number for Marilyn D Goodman is 1124263322 and holds a License No. 284222-1 (New York).

The current practice location address for Marilyn D Goodman is 848 Pierson Ave., Newark, NY and can be reached out via phone at 315-331-2086.

Location: 848 Pierson Ave., Newark, NY, 14489-9619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124263322
Provider Name
Marilyn D Goodman
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
848 Pierson Ave., Newark, NY, 14489-9619
Phone Number
315-331-2086
Fax Number
Provider Enumeration Date
12/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-7540582 01 NY ROOSEVELT CHILDREN'S CENTER
1043414170 01 NY ROOSEVELT CHILDREN'S CENTER
institution
Provider Business Practice Location Address Details
Address
848 Pierson Ave.
City
Newark
State
New York
Zip
14513
Phone Number
315-331-2086
Fax Number
person
Provider Business Mailing Address Details
Address
848 Pierson Ave.
City
Newark
State
New York
Zip
14513
Phone Number
315-331-2086
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
284222-1 (New York)
Definition
Definition to come...
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