National Provider Identifier
Kathryn Maureen Godshalk, PA
Kathryn Maureen Godshalk, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 368-6500.
Profile Overview
- NPI
- 1437534294
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 22, 2015
- Last Updated
- December 18, 2015
Practice Location
- 1561 Long Pond RD
- Suite 303
- Rochester, NY 14626-4117
Phone: (585) 368-6500
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1437534294
- Entity Type
- Individual
- Last Name
- Godshalk
- First Name
- Kathryn
- Middle Name
- Maureen
- Credential
- PA
- Mailing Street Address
- 1561 Long Pond RD
- Mailing Address Line 2
- Suite 303
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4117
- Mailing Country
- US
- Mailing Phone
- (585) 368-6500
- Mailing Fax
- (585) 368-6501
- Practice Street Address
- 1561 Long Pond RD
- Practice Address Line 2
- Suite 303
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4117
- Practice Country
- US
- Practice Phone
- (585) 368-6500
- Practice Fax
- (585) 368-6501
- Enumeration Date
- July 22, 2015
- Last Updated
- December 18, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 04247536 (NY)