Individual
CHRISTINE MARGARET GOEDVOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8207 MAIN ST STE 5, WILLIAMSVILLE, NY 14221-6060
(716) 632-2000
(713) 632-2162
Mailing address
8207 MAIN ST STE 5, WILLIAMSVILLE, NY 14221-6060
(716) 632-2000
(713) 632-2162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342492
NY
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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