NPI 1932670130

Jaime Goodman, CPED

Practitioner Pedorthist Albany, NY

Practice location

Address: 1659 Central Ave, Albany, NY 12205-4050
Phone: (518) 869-0021
Mailing address: 22 Moss Rd, Voorheesville, NY 12186-5042

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED1770 (NY)

Other Pedorthist providers in New York →

Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CPED1770 (NY)

Other Orthotic Fitter providers in New York →

Registry record

NPI: 1932670130
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.