Organization
SHADEFAI GOLDSMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHADEFAI ZSALINN GOLDSMITH (LICENSED PRACTICAL NURSE)
(585) 413-3762
Entity
Organization
Contact information
Practice address
929 RIDGEWAY AVE, ROCHESTER, NY 14615-3824
(585) 734-4484
Mailing address
929 RIDGEWAY AVE, ROCHESTER, NY 14615-3824
(585) 734-4484
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
295552
NY
Other
Enumeration date
02/25/2009
Last updated
06/14/2012
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