National Provider Identifier
Abby Goergen, PA
Abby Goergen, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 424-6770.
Profile Overview
- NPI
- 1851736060
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- May 01, 2013
- Last Updated
- May 04, 2023
Practice Location
- 2250 Brighton Henrietta Town Line RD
- Rochester, NY 14623-2706
Phone: (585) 424-6770
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1851736060
- Entity Type
- Individual
- Last Name
- Goergen
- First Name
- Abby
- Credential
- PA
- Provider Other Last Name
- Leishman
- Provider Other First Name
- Abby
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 424-6770
- Mailing Fax
- (585) 424-6776
- Practice Street Address
- 2250 Brighton Henrietta Town Line RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2706
- Practice Country
- US
- Practice Phone
- (585) 424-6770
- Practice Fax
- (585) 424-6776
- Enumeration Date
- May 01, 2013
- Last Updated
- May 04, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 06168152 (NY)