Individual
MRS. CATHERINE A GOODFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 ELMGROVE ROAD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 453-1462
Mailing address
900 ELMGROVE ROAD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 453-1462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01388361
—
NY
01
—
01725
BLUE SHIELD OF ROCHESTER
NY
01
—
4334391
AETNA US HEALTHCARE
—
01
—
7701664
MPV UPSTATE DHP
NY
01
—
MD131E
PREFERRED CARE
NY
01
—
P010164923
EXCELLUS BLUE CHOICE
—
01
—
RC60164923
POMCO
—
01
—
Y028938
TRICARE REGION 1
—
Enumeration date
10/19/2006
Last updated
11/19/2019
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