Danielle Suzanne Goodwin
Individual provider Active NPI Speech-Language Pathologist · East Rockaway, NY
NPI 1104079359 · NPPES record last updated Oct 31, 2008
Key facts
- NPI
- 1104079359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016585-1 (NY)
- Practice address
- 320 Atlantic Ave
C-10
East Rockaway, NY 11518-1142 - Phone
- (516) 596-7130
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016585-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016585-1 | NY | Yes |
Addresses
Primary practice location
320 Atlantic Ave
C-10
East Rockaway, NY 11518-1142
Mailing address
320 Atlantic Ave
C-10
East Rockaway, NY 11518-1142
Phone (516) 596-7130
Other providers in East Rockaway, NY
- Benjamin Giliberti
- Margaret Gillespie
- Brooke Giorlando
- Berel Gold
- Yael Shoshana Goller
- Leo S Gray
- Philip Steven Gura
- Zivi Hahami
- Jessica A Harrison
- Jessica Laura Hettler
All providers in East Rockaway, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.