Individual provider · Type 1 NPI

Kenneth Goodman, MD

Diagnostic Radiology Physician · Roslyn, NY

NPI number 1174539357 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Call (516) 562-6510 Map

Mailing address

PO Box 30301
Staten Island, NY 10303-0301

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X117490 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1174539357

Kenneth Goodman, MD's National Provider Identifier is 1174539357, issued on Jul 31, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Roslyn, NY. The record was last updated on Nov 19, 2010.