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1285236661
BRUCE S GOODMAN
SELDEN, NY
NPI
1285236661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
BRUCE S GOODMAN BOCP
280 MIDDLE COUNTRY RD STE G
SELDEN, NY 11784-2532
Phone number: 631-732-5556
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Mailing Address
BRUCE S GOODMAN BOCP
280 MIDDLE COUNTRY RD STE G
SELDEN, NY 11784-2532
Phone number: 631-732-5556
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