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1801386610
BRYAN NICHOLAS GOODMAN
BRONX, NY
NPI
1801386610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
Dr. BRYAN NICHOLAS GOODMAN DDS
1775 GRAND CONCOURSE
BRONX, NY 10453-8202
Phone number: 718-901-8410
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Mailing Address
Dr. BRYAN NICHOLAS GOODMAN DDS
101 W 140TH ST APT 56
NEW YORK, NY 10030-1788
Phone number: 615-573-6332
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