National Provider Identifier

William T Goode I, PA-C

William T Goode I, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lewiston, NY and a listed phone number of (716) 205-8324.

NPI 1598203697Lewiston, NYPhysician Assistant

Profile Overview

NPI
1598203697
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 08, 2017
Last Updated
February 08, 2017

Practice Location

  • 5320 Military RD Ste 104
  • Lewiston, NY 14092-2149

Phone: (716) 205-8324

Mailing Address

  • 246 Coventry RD
  • Kenmore, NY 14217-1136

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1598203697
Entity Type
Individual
Last Name
Goode
First Name
William
Middle Name
T
Name Suffix
I
Credential
PA-C
Mailing Street Address
246 Coventry RD
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1136
Mailing Country
US
Mailing Phone
(716) 803-4007
Practice Street Address
5320 Military RD Ste 104
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-2149
Practice Country
US
Practice Phone
(716) 205-8324
Practice Fax
(716) 205-8593
Enumeration Date
February 08, 2017
Last Updated
February 08, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)