GLENN NEAL GOODMAN (NPI# 1720280316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720280316 |
| Entity Type | Individual |
| Full Name | GLENN NEAL GOODMAN |
| Credential | DC |
| Practice Address |
3334 Noyac Road Sag Harbor NY 11963 |
| Mailing Address |
Po Box 1448 Sag Harbor NY 11963 |
| Practice Telephone | 6317253398 |
| Practice Fax Number | 6317256302 |
| Mailing Telephone | 6317253398 |
| Mailing Fax Number | 6317256302 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X009873 | NY | Chiropractic Providers |
| Street Address |
3334 NOYAC ROAD |
| City | SAG HARBOR |
| State | NY |
| Zip Code | 11963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549807 | Twentyseveneastphysiotherapy PC | Physical Therapist | 34 Bay Street, Suite 206, Sag Harbor, NY 11963 | 2020-02-10 |
| 1407351646 | Sagaponack Medical PC | Clinic/Center | 3350 Noyack Rd, Sag Harbor, NY 11963 | 2018-03-29 |
| 1821331604 | Diana Immenhausen | Family Medicine | 3330 Noyac Road Burkeshire Court, Bldg A, Sag Harbor, NY 11963 | 2013-03-31 |
| 1386849651 | Kimberlee A Sherman | Registered Nurse | 1155 Bridghampton Turnpike, Bridgehampton, NY 11963 | 2007-06-18 |
| 1811198203 | Jaime Lynn Kosinski | Speech-Language Pathologist | 22 Oak Drive, North Haven, Sag Harbor, NY 11963 | 2007-05-31 |
| 1942425798 | Victoria L Sharp | Internal Medicine | 11 Ninevah Pl, Sag Harbor, NY 11963 | 2007-04-16 |
| 1356462618 | Tod Reed Granger | Dentist | 3330 Noyac Road, Bldg B, Sag Harbor, NY 11963 | 2007-04-03 |
| 1841325628 | Suzanne Jayne Kirby | Chiropractor | 3334 Noyac Rd, Sag Harbor, NY 11963 | 2007-02-22 |
| 1427194745 | Sag Harbor Ufsd | Local Education Agency (LEA) | 200 Jermain Avenue, Sag Harbor, NY 11963 | 2007-01-30 |
| 1710045208 | Stephen James Petruccelli | Chiropractor | 39 Division Street, Sag Harbor, NY 11963 | 2006-12-05 |
| Find all providers in zip 11963 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841325628 | Suzanne Jayne Kirby | Chiropractor | 3334 Noyac Rd, Sag Harbor, NY 11963 | 2007-02-22 |
| 1841356805 | Kelly J Downes | Chiropractor | 1626 Sagg Rd, Sag Harbor, NY 11963-3935 | 2006-12-27 |
| 1982847521 | Kelly J Downes Dc Pllc | Chiropractor | 1626 Sagg Rd, Sag Harbor, NY 11963-3935 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SAG HARBOR |
| Zip Code | 11963 |
Please comment or provide details below to improve the information on GLENN NEAL GOODMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.