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1841283108
MICHAEL JAY GOODMAN
KEW GARDENS, NY
NPI
1841283108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 031052)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JAY GOODMAN DDS
12301 82ND RD
KEW GARDENS, NY 11415-1601
Phone number: 718-261-6303
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Mailing Address
Dr. MICHAEL JAY GOODMAN DDS
158 SEQUAMS LN W
WEST ISLIP, NY 11795-4549
Phone number: 631-587-2550
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