National Provider Identifier

Colin P Gooley, SOCIAL WORKER

Colin P Gooley, SOCIAL WORKER is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7911.

NPI 1972203628Canandaigua, NYSocial Worker

Profile Overview

NPI
1972203628
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7911

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1972203628
Entity Type
Individual
Last Name
Gooley
First Name
Colin
Middle Name
P
Credential
SOCIAL WORKER
Mailing Street Address
400 Fort Hill Ave
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1159
Mailing Country
US
Mailing Phone
(585) 393-7911
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7911
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023
Sex
Male
Sole Proprietor
No
Certification Date
March 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)