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Search › New York › 156FX1800X

Philllip Goodman

NPI 1760072896 · on the registry since 2021 · sole proprietor

Practice

Address
204 Main Street Shop Ctr
Waterloo, NY 13165
Phone
(315) 539-1209
Organisation at this address
Andrew P Smith, Od
Waterloo Ophthalmic Dispensing, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-22

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