Individual
REBECCA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-1122
(585) 275-2662
(585) 461-9636
Mailing address
601 ELMWOOD AVE PO BOX 684 SIERRA BOSDYK, ROCHESTER, NY 14642-0001
(585) 784-9503
(585) 784-8207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175009BS
PREFERRED CARE
—
01
—
P019330760
BLUE CHOICE
—
Enumeration date
07/14/2006
Last updated
05/08/2023
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