Individual provider · Type 1 NPI

Tiras Goodwin, RN

Psychiatric/Mental Health Nurse Practitioner · South Richmond Hill, NY

NPI number 1013433036 Active

Practice location

10154 117th St
South Richmond Hill, NY 11419-1906

Call (718) 846-4007 Map

Mailing address

14202 20th Ave
Flushing, NY 11351-3000

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X408817 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

9 other providers at this address

About NPI 1013433036

Tiras Goodwin, RN's National Provider Identifier is 1013433036, issued on Aug 22, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Richmond Hill, NY. The record was last updated on Jul 14, 2026.