Individual
DENISE M GOODBERLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-8655
(585) 341-3015
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-8655
(585) 341-3015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336317
NY
Other
Enumeration date
06/17/2010
Last updated
10/04/2012
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