Individual
WILLIAM LLOYD GOODNESS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(315) 359-8608
Mailing address
1 OXFORD ST APT 5, ROCHESTER, NY 14607-1586
(585) 733-5045
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
86083138
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86083138
COMMISSION ON DIETETIC REGISTRATION (CDR)
—
Enumeration date
02/11/2021
Last updated
02/11/2021
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