National Provider Identifier
Goodman Pediatrics, LLP
Goodman Pediatrics, LLP is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 473-7028.
Profile Overview
- NPI
- 1306085345
- Provider Type
- Organization
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- February 16, 2009
- Last Updated
- March 10, 2020
Practice Location
- 500 Helendale Road
- Suite Lle-10
- Rochester, NY 14609-3109
Phone: (585) 473-7028
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1306085345
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Goodman Pediatrics, LLP
- Mailing Street Address
- 500 Helendale Road
- Mailing Address Line 2
- Suite Lle-10
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-3109
- Mailing Country
- US
- Mailing Phone
- (585) 473-7028
- Mailing Fax
- (585) 473-0051
- Practice Street Address
- 500 Helendale Road
- Practice Address Line 2
- Suite Lle-10
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-3109
- Practice Country
- US
- Practice Phone
- (585) 473-7028
- Practice Fax
- (585) 473-0051
- Enumeration Date
- February 16, 2009
- Last Updated
- March 10, 2020
- Authorized Official Last Name
- Penird
- Authorized Official First Name
- Karen
- Authorized Official Middle Name
- Susan
- Authorized Official Title
- Partner
- Authorized Official Phone
- (585) 473-7028
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- March 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 02688695 (NY)