Mr. Daniel Goodman, OPTICIAN
Mr. Daniel Goodman, OPTICIAN is an Optician in Waterloo, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
204 Main Street Shop CtrWaterloo, NY 13165-1454
Phone: (315) 539-1209
Fax: (607) 739-8454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence C004107-1 (NY) |
|---|
Record details
| NPI number | 1902925670 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICIAN |
| Sole proprietor | No |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | November 3, 2008 |
| Mailing address | 204 Main Street Shop Ctr, Waterloo, NY 13165-1454 |
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Garth A Court, OPTICIAN
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Philllip Goodman
204 Main Street Shop Ctr, Waterloo, NY 13165-1454 · (315) 539-1209