THALIA GOODEN

SMITHTOWN, NY
NPI1942783543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NY  F001882)
Additional Taxonomies367A00000X Advanced Practice Midwife
Enumeration Date2018-09-10
Last Update Date2019-10-03
Business Address
THALIA GOODEN CM
70 MAPLE AVE
SMITHTOWN, NY 11787-3502
Phone number: 631-361-7526
Mailing Address
THALIA GOODEN CM
683 IVY PL
UNIONDALE, NY 11553-2920
Phone number: