National Provider Identifier
Marilyn D Goodman, REGISTERED NURSE
Marilyn D Goodman, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of School Registered Nurse in Newark, NY and a listed phone number of (315) 331-2086.
Profile Overview
- NPI
- 1124263322
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- December 03, 2008
- Last Updated
- December 03, 2008
Practice Location
- 848 Pierson Ave.
- Newark, NY 14513
Phone: (315) 331-2086
Mailing Address
- 762 Townline RD
- Lyons, NY 14489-9619
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1124263322
- Entity Type
- Individual
- Last Name
- Goodman
- First Name
- Marilyn
- Middle Name
- D
- Credential
- REGISTERED NURSE
- Mailing Street Address
- 762 Townline RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9619
- Mailing Country
- US
- Mailing Phone
- (315) 331-2086
- Practice Street Address
- 848 Pierson Ave.
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 331-2086
- Enumeration Date
- December 03, 2008
- Last Updated
- December 03, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)
- Other Identifiers
- 23-7540582 (NY, Roosevelt Children'S Center), 1043414170 (NY, Roosevelt Children'S Center)