| Doctor Name: | DR. MICHELLE HAYNES GOODGER |
| NPI Number: | 1093977993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 253860 |
| Business Practice Address: | 67 Arlyn Dr E Massapequa, NY - 117586109 |
| Business Phone Number: | 5166552990 |
| Business Fax Number: | |
| Mailing Address: | 67 Arlyn Dr E, MASSAPEQUA |
| State: | NY |
| Postal Code: | 117586109 |
| Phone Number: | 5166552990 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 253860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |