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HAZEL GOODWIN MD NPI 1306015532


NPI Information

NPI: 1306015532
Provider Name: HAZEL GOODWIN MD
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
1979 ROCKAWAY PARKWAY
BROOKLYN, NY
ZIP 11236
Phone: (718) 272-6594
Get Directions

HAZEL GOODWIN MD is a developmental - behavioral pediatrics pediatrics in Brooklyn, NY. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. HAZEL GOODWIN MD NPI is 1306015532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1979 ROCKAWAY PARKWAY
BROOKLYN, NY
ZIP 11236
Phone: (718) 272-6594
Fax: (718) 701-4197

The provider's authorized official is Hazel Goodwin .
The authorized official title is Developmental Behavioral Pediatrics and has the following contact phone number (718) 272-6594.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics089641NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101356472MEDICAIDNEW YORK
2G2710MEDICARE PINNEW YORK
3B7771MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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