National Provider Identifier

Molly Goodman

Molly Goodman is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (518) 694-6722.

NPI 1194475830Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1194475830
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 25, 2022
Last Updated
March 25, 2022

Practice Location

  • 1425 Portland Ave Apt 17
  • Rochester, NY 14621-3011

Phone: (518) 694-6722

Mailing Address

  • 1112 Avon RD
  • Schenectady, NY 12308-2406

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1194475830
Entity Type
Individual
Last Name
Goodman
First Name
Molly
Mailing Street Address
1112 Avon RD
Mailing City
Schenectady
Mailing State
NY
Mailing ZIP Code
12308-2406
Mailing Country
US
Mailing Phone
(518) 694-6722
Practice Street Address
1425 Portland Ave Apt 17
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(518) 694-6722
Enumeration Date
March 25, 2022
Last Updated
March 25, 2022
Sex
Female
Sole Proprietor
No
Certification Date
March 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)