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DAVID J GOODRICH
100 NICHOLLS RD STONY BROOK NY 117940001
DAVID J GOODRICH is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1508891235. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 840329173. The primary specialty is INTERNAL MEDICINE. The organization is STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION. The address is 100 NICHOLLS RD, , STONY BROOK, NY, 117940001. The zip code is 117940001.
|Nation Provider ID||1508891235|
|PAC ID by PECOS||840329173|
|Professional Enrollment ID||I20100525001067|
|Name||DAVID J GOODRICH|
|Medical School Name||CORNELL UNIVERSITY MEDICAL COLLEGE|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION|
|Group Practice PAC ID||9133019821|
|Number of Group Practice members||127|
|Address||100 NICHOLLS RD, , STONY BROOK, NY, 117940001|
|Hospital affiliation LBN||UNIVERSITY HOSPITAL AT STONY BROOK|