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Contact Information

JOSHUA W GOODSON, RN
1111 STARK ST
UTICA, NY13502-4454
 Phone: 315-724-8603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

General Practice

163WG0000X
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for JOSHUA W GOODSON · (Male)

NPI # 1316152291
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/13/2007
Last updated 08/27/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 476476-1
  • NY Medicaid 01709282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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