SearchNew York207XX0005X

Andrew Goodwillie, M.D

NPI 1710144191 · on the registry since 2008 · sole proprietor

Practice

Address
611 Northern Blvd
Suite 200
Great Neck, NY 11021
Phone
(516) 723-2663
Fax
(516) 325-7190
Organisation at this address
Richard T Miller Dmd Pc
Richard T Miller Dmd Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
207XX0005X
207XX0005X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-21

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