Individual
DANIELLE LEE GOODENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4827 TRANSIT RD, DEPEW, NY 14043-4788
(716) 608-2236
Mailing address
54 RED JACKET PKWY, BUFFALO, NY 14220-2011
(585) 770-4031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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