Individual provider · Type 1 NPI

Sandra Walter Goodman, NP

Acute Care Nurse Practitioner · Bronx, NY

NPI number 1710046495 Active

Practice location

111 East 210th Street
Bronx, NY 10467

Fax (718) 547-2902

Mailing address

111 E 210th St
Bronx, NY 10467-2401

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF302161 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1710046495

Sandra Walter Goodman, NP's National Provider Identifier is 1710046495, issued on Dec 8, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bronx, NY. The record was last updated on Dec 29, 2014.