National Provider Identifier
Gail R Goodman, M.D.
Gail R Goodman, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Orchard Park, NY and a listed phone number of (716) 972-0279.
Profile Overview
- NPI
- 1568442465
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- January 18, 2006
- Last Updated
- August 26, 2014
Practice Location
- 3675 Southwestern Blvd
- Orchard Park, NY 14127-1732
Phone: (716) 972-0279
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1568442465
- Entity Type
- Individual
- Last Name
- Goodman
- First Name
- Gail
- Middle Name
- R
- Credential
- M.D.
- Mailing Street Address
- 3675 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1732
- Mailing Country
- US
- Mailing Phone
- (716) 972-0279
- Mailing Fax
- (716) 972-0273
- Practice Street Address
- 3675 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1732
- Practice Country
- US
- Practice Phone
- (716) 972-0279
- Practice Fax
- (716) 972-0273
- Enumeration Date
- January 18, 2006
- Last Updated
- August 26, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 00010065904 (NY, Univera), 01477605 (NY), 040426002662 (NY, Fidelis), 1211151 (NY, Iha), 147716DL (NY, Preferred Care), 479993 (NY, Wellcare), 000524370006 (NY, Bc/Bs)