Individual
REBECCA ANN GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 799-1463
(833) 953-2016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250449
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
250449
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
442553
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03072497
—
NY
Enumeration date
07/21/2008
Last updated
10/17/2022
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