Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Goodman, MD

Individual provider Diagnostic Radiology Physician · NPI 1174539357

Dr. Kenneth Goodman, MD is a Diagnostic Radiology Physician in Roslyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone: (516) 562-6510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 117490 (NY)

Record details

NPI number1174539357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESNovember 19, 2010
Mailing addressPo Box 30301, Staten Island, NY 10303-0301

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