| Michael S. Goodman, Dds, Pc | |
|
245 East 50th Street C/o Elk Dental Associates Nyc NY 10022 | |
| (212) 593-1212 | |
| (212) 832-3014 |
| Full Name | Michael S. Goodman, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 245 East 50th Street, Nyc, New York |
| Authorized Official Name and Position | Michael S Goodman (PRESIDENT) |
| Authorized Official Contact | 2125931212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S. Goodman, Dds, Pc 85-15 67th Road Rego Park NY 11374 Ph: (917) 583-4545 | Michael S. Goodman, Dds, Pc 245 East 50th Street C/o Elk Dental Associates Nyc NY 10022 Ph: (212) 593-1212 |
| NPI Number | 1982784609 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 03/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982784609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS030169 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 030169 (New York) | Primary |
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