National Provider Identifier
Joshua Scaccia Goodman, PA
Joshua Scaccia Goodman, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Lakeville, NY and a listed phone number of (585) 346-4460.
Profile Overview
- NPI
- 1356041123
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 09, 2023
- Last Updated
- May 04, 2025
Practice Location
- 5989 Big Tree RD Ste A
- Lakeville, NY 14480-9719
Phone: (585) 346-4460
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1356041123
- Entity Type
- Individual
- Last Name
- Goodman
- First Name
- Joshua
- Middle Name
- Scaccia
- Credential
- PA
- Mailing Street Address
- 5989 Big Tree RD Ste A
- Mailing City
- Lakeville
- Mailing State
- NY
- Mailing ZIP Code
- 14480-9719
- Mailing Country
- US
- Mailing Phone
- (585) 346-4460
- Practice Street Address
- 5989 Big Tree RD Ste A
- Practice City
- Lakeville
- Practice State
- NY
- Practice ZIP Code
- 14480-9719
- Practice Country
- US
- Practice Phone
- (585) 346-4460
- Enumeration Date
- March 09, 2023
- Last Updated
- May 04, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)