Individual
CATHERINE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9108335
FL
363AM0700X
Medical Physician Assistant
Primary
021218-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04951144
—
NY
Enumeration date
12/22/2014
Last updated
08/12/2024
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