National Provider Identifier
Jill Goodenough
Jill Goodenough is listed in the NPPES registry with a primary specialty of Specialist in Middleport, NY and a listed phone number of (716) 735-0028.
Profile Overview
- NPI
- 1275884686
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
Practice Location
- 9999 Johnson RD
- Middleport, NY 14105-9630
Phone: (716) 735-0028
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1275884686
- Entity Type
- Individual
- Last Name
- Goodenough
- First Name
- Jill
- Name Prefix
- MS.
- Mailing Street Address
- 9999 Johnson RD
- Mailing City
- Middleport
- Mailing State
- NY
- Mailing ZIP Code
- 14105-9630
- Mailing Country
- US
- Mailing Phone
- (716) 735-0028
- Practice Street Address
- 9999 Johnson RD
- Practice City
- Middleport
- Practice State
- NY
- Practice ZIP Code
- 14105-9630
- Practice Country
- US
- Practice Phone
- (716) 735-0028
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)