| Doctor Name: | MS. SUZANNE GOODMAN |
| NPI Number: | 1033564117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 40QA01417900 |
| Business Practice Address: | 19 Elm St Montclair, NJ - 070423451 |
| Business Phone Number: | 9737986800 |
| Business Fax Number: | 9737986801 |
| Mailing Address: | 637 Wyckoff Ave, Unit 364 WYCKOFF |
| State: | NJ |
| Postal Code: | 074811438 |
| Phone Number: | 9737986800 |
| Fax Number: | 9737986801 |
| NPI Enumeration Date: | 04/26/2016 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 40QA01417900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |