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1780056523
LANCE GOODMAN
NEW YORK, NY
NPI
1780056523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: NY 029503-1)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
Mr. LANCE GOODMAN R.Ph
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-3605
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Mailing Address
Mr. LANCE GOODMAN R.Ph
21 HOLLY DR
SYOSSET, NY 11791-5719
Phone number: 646-210-3741
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