National Provider Identifier

Danielle Lee Goodenow, PA

Danielle Lee Goodenow, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Depew, NY and a listed phone number of (716) 608-2236.

NPI 1558126623Depew, NYPhysician Assistant

Profile Overview

NPI
1558126623
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 19, 2024
Last Updated
February 19, 2024

Practice Location

  • 4827 Transit RD
  • Depew, NY 14043-4788

Phone: (716) 608-2236

Mailing Address

  • 54 Red Jacket Pkwy
  • Buffalo, NY 14220-2011

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1558126623
Entity Type
Individual
Last Name
Goodenow
First Name
Danielle
Middle Name
Lee
Credential
PA
Mailing Street Address
54 Red Jacket Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-2011
Mailing Country
US
Mailing Phone
(585) 770-4031
Practice Street Address
4827 Transit RD
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-4788
Practice Country
US
Practice Phone
(716) 608-2236
Enumeration Date
February 19, 2024
Last Updated
February 19, 2024
Sex
Female
Sole Proprietor
No
Certification Date
February 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)