Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW DAVID GOODWILLIE, M.D.
Active Sole ProprietorDR. ANDREW DAVID GOODWILLIE, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in GREAT NECK, New York. NPI 1710144191 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · GREAT NECK, NY
Registration Details
- NPI Number
- 1710144191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2008 (18.275421273421 yrs)
- Last Updated
- Aug 21, 2012
- License
-
260885 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
611 NORTHERN BLVDSUITE 200GREAT NECK, NY, 110215207Browse NY providers · Browse ZIP 11021
- Phone
- 5167232663
- Fax
- 5163257190
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Other Adult Reconstructive Orthopaedic Surgery Providers in GREAT NECK, NY
| Name | Credential | NPI |
|---|---|---|
| AJAY PADAKI | MD | 1053766642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.