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1710046495
SANDRA WALTER GOODMAN
BRONX, NY
NPI
1710046495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY F302161)
Enumeration Date
2006-12-08
Last Update Date
2014-12-29
Business Address
Ms. SANDRA WALTER GOODMAN NP
111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-8215
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Mailing Address
Ms. SANDRA WALTER GOODMAN NP
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8215
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