| Doctor Name: | ANNEMARIE GOODMAN |
| NPI Number: | 1043684111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 059772 |
| Business Practice Address: | 10102 Rockaway Blvd Ozone Park, NY - 114172229 |
| Business Phone Number: | 9292326100 |
| Business Fax Number: | |
| Mailing Address: | 7502 Austin St, Apt. 2b FOREST HILLS |
| State: | NY |
| Postal Code: | 113756237 |
| Phone Number: | 3478523248 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2015 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 059772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |