Individual
MR. JON GOOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2685 E HENRIETTA RD, HENRIETTA, NY 14467-9370
(585) 444-0058
(585) 444-0108
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002056
NY
Other
Enumeration date
06/14/2006
Last updated
12/24/2022
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