Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr MARK GOODENOUGH in STATEN ISLAND, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1154858033 |
|
| Status | Active | |
| Credentials | DDS, MD | |
| Entity | Individual | |
| Enumeration date | 05/22/2017 | |
| Last updated | 06/26/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK GOODENOUGH
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MARK GOODENOUGH, DDS, MD