Search › New York › 204E00000X
Mark Goodenough, DDS, MD
NPI 1154858033 · on the registry since 2017
Practice
- Address
- 256c Mason Ave
Staten Island, NY 10305 - Phone
- (718) 226-1251
- Organisation at this address
- Staten Island Oral & Maxillofacial Surgery
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Additional practice sites
- 1441 South Ave Ste 707, Staten Island, NY
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 208D00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York