National Provider Identifier

Erin Elisabeth Goodrich, RDN, CDE

Erin Elisabeth Goodrich, RDN, CDE is listed in the NPPES registry with a primary specialty of Registered Dietitian in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1720599533Brockport, NYRegistered Dietitian

Profile Overview

NPI
1720599533
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
October 19, 2017
Last Updated
July 21, 2022

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1720599533
Entity Type
Individual
Last Name
Goodrich
First Name
Erin
Middle Name
Elisabeth
Credential
RDN, CDE
Provider Other Last Name
Wilbert
Provider Other First Name
Erin
Provider Other Middle Name
Elisabeth
Provider Other Last Name Type Code
1
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
October 19, 2017
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)