| Doctor Name: | LAURA GOODE |
| NPI Number: | 1093013369 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 389992-1 |
| Business Practice Address: | 700 Harrison Ave Riverhead, NY - 119012780 |
| Business Phone Number: | 6313696748 |
| Business Fax Number: | 6313696831 |
| Mailing Address: | 6 Summit Dr, CALVERTON |
| State: | NY |
| Postal Code: | 119331218 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 389992-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |