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Mrs. Sandra L. Goodman, RN
Home Health Registered Nurse in Patchogue, New York
NPI 1568680247

Sandra L. Goodman is a Home Health Registered Nurse based in Patchogue, NY and is specialized in Home Health. Sandra L. Goodman practices in Patchogue, NY and has the professional credentials of RN. The NPI Number for Sandra L. Goodman is 1568680247 and holds a License No. 267530-1 (New York).

The current practice location address for Sandra L. Goodman is 123 Jennings Ave, Patchogue, NY and can be reached out via phone at 631-758-6528.

Location: 123 Jennings Ave, Patchogue, NY, 11772-2522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568680247
Provider Name
Sandra L. Goodman
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
123 Jennings Ave, Patchogue, NY, 11772-2522
Phone Number
631-758-6528
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02785986 05 NY
institution
Provider Business Practice Location Address Details
Address
123 Jennings Ave
City
Patchogue
State
New York
Zip
11772-2522
Phone Number
631-758-6528
Fax Number
person
Provider Business Mailing Address Details
Address
123 Jennings Ave
City
Patchogue
State
New York
Zip
11772-2522
Phone Number
631-758-6528
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
267530-1 (New York)
Definition
Definition to come...
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