Individual
GAIL R GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Mailing address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010065904
UNIVERA
NY
01
—
000524370006
BC/BS
NY
05
—
01477605
—
NY
01
—
040426002662
FIDELIS
NY
01
—
1211151
IHA
NY
01
—
147716DL
PREFERRED CARE
NY
01
—
479993
WELLCARE
NY
Enumeration date
01/18/2006
Last updated
08/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us