Dr Kenneth Goodman, MD | |
100 Port Washington Blvd, Roslyn, NY 11576-1353 | |
(516) 562-6510 | |
Not Available |
Full Name | Dr Kenneth Goodman |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 100 Port Washington Blvd, Roslyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174539357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 117490 (New York) | Primary |
Entity Name | Physicians Diagnostic Imaging Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629090535 PECOS PAC ID: 3375432792 Enrollment ID: O20040313000213 |
Mailing Address | Practice Location Address |
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Dr Kenneth Goodman, MD Po Box 30301, Staten Island, NY 10303-0301 Ph: (516) 562-6510 | Dr Kenneth Goodman, MD 100 Port Washington Blvd, Roslyn, NY 11576-1353 Ph: (516) 562-6510 |
Dr. Alan R Zakheim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Dept. Of Radiology, Roslyn, NY 11576 Phone: 516-562-6518 Fax: 646-895-7662 | |
Michael Cai, Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-277-4926 | |
Angela T Capo-granata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-629-2400 | |
Patricia Ann Barry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Women's Center, Roslyn, NY 11576 Phone: 516-629-2400 Fax: 516-629-2113 |