| Doctor Name: | SONYA L GOODRICH |
| NPI Number: | 1053528356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NN09682500 |
| Business Practice Address: | 1200 Clinton Ave Suite 140 Irvington, NJ - 071112070 |
| Business Phone Number: | 9733741080 |
| Business Fax Number: | 9733731726 |
| Mailing Address: | 1200 Clinton Ave, Suite 140 IRVINGTON |
| State: | NJ |
| Postal Code: | 071112070 |
| Phone Number: | 9733741080 |
| Fax Number: | 9733731726 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN09682500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |