Most Relevant Information
Provider Data
| NPI Number: | 1003173758 |
| Provider Name: | PAMELA ISABEL GOOD M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 11/10/2015 |
Provider Practice Location
3959 BROADWAY
NEW YORK
NY
100321559
Practice Location Phone/Fax
| Phone: | 2123058504 |
| Fax: |
Provider Mailing Location
408 W 149TH ST APT 2
NEW YORK
NY
100312823
Provider Mailing Phone/Fax
| Phone: | 4018299598 |
| Fax: |