National Provider Identifier
Jon Gootnick, PA
Jon Gootnick, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Henrietta, NY and a listed phone number of (585) 444-0058.
Profile Overview
- NPI
- 1578506515
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 14, 2006
- Last Updated
- December 24, 2022
Practice Location
- 2685 E Henrietta RD
- Henrietta, NY 14467-9370
Phone: (585) 444-0058
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- jon.gootnick@rochesterregional.org
Direct Messaging Address | Henrietta, NY 14467
Full Record
- NPI
- 1578506515
- Entity Type
- Individual
- Last Name
- Gootnick
- First Name
- Jon
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0527
- Practice Street Address
- 2685 E Henrietta RD
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9370
- Practice Country
- US
- Practice Phone
- (585) 444-0058
- Practice Fax
- (585) 444-0108
- Enumeration Date
- June 14, 2006
- Last Updated
- December 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)