Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAIME GOODMAN, C.PED
Active Sole ProprietorJAIME GOODMAN, C.PED is a 224L00000X healthcare provider located in ALBANY, New York. NPI 1932670130 is currently active in the NPPES registry. Verify at CMS.
224L00000X · ALBANY, NY
Registration Details
- NPI Number
- 1932670130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2018 (7.6775513789669 yrs)
- Last Updated
- Dec 16, 2018
- Licenses
-
CPED1770 (NY)CPED1770 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1659 CENTRAL AVEALBANY, NY, 122054050Browse NY providers · Browse ZIP 12205
- Phone
- 5188690021
- Primary Specialty
-
224L00000X
224L00000X
- Additional Specialty
- 224L00000X
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.