Individual
ANDREW D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7854
(585) 275-9953
Mailing address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 275-7854
(585) 275-9953
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
144850
NY
2084V0102X
Vascular Neurology Physician
144850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01117591
—
NY
Enumeration date
07/12/2006
Last updated
06/29/2023
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