Doctor Name: | MR. ARNOTT GORDON GOODING |
NPI Number: | 1790054559 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | R053353 |
Business Practice Address: | 301 E Main St Centerport, NY - 117211439 |
Business Phone Number: | 5163830284 |
Business Fax Number: | |
Mailing Address: | 4 Pennington Dr, HUNTINGTON |
State: | NY |
Postal Code: | 117437112 |
Phone Number: | 5163830284 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2011 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | R053353 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |