National Provider Identifier
Stephanie L Goodwin, DO
Stephanie L Goodwin, DO is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician in Ithaca, NY and a listed phone number of (607) 269-0100.
Profile Overview
- NPI
- 1699740738
- Provider Type
- Individual
- Primary Specialty
- Interventional Cardiology Physician
- Enumeration Date
- February 22, 2006
- Last Updated
- October 20, 2010
Practice Location
- 310 Taughannock Blvd
- 4Th Floor
- Ithaca, NY 14850-3251
Phone: (607) 269-0100
Specialties
- Interventional Cardiology Physician (207RI0011X)
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1699740738
- Entity Type
- Individual
- Last Name
- Goodwin
- First Name
- Stephanie
- Middle Name
- L
- Credential
- DO
- Mailing Street Address
- 310 Taughannock Blvd
- Mailing Address Line 2
- 4Th Floor
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3251
- Mailing Country
- US
- Mailing Phone
- (607) 269-0100
- Mailing Fax
- (607) 269-0140
- Practice Street Address
- 310 Taughannock Blvd
- Practice Address Line 2
- 4Th Floor
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 269-0100
- Practice Fax
- (607) 269-0140
- Enumeration Date
- February 22, 2006
- Last Updated
- October 20, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Interventional Cardiology Physician (207RI0011X), Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- 010105340 (VA)