National Provider Identifier

Shadefai Goldsmith

Shadefai Goldsmith is listed in the NPPES registry with a primary specialty of Point of Service in Rochester, NY and a listed phone number of (585) 734-4484.

NPI 1972743326Rochester, NYPoint of Service

Profile Overview

NPI
1972743326
Provider Type
Organization
Primary Specialty
Point of Service
Enumeration Date
February 25, 2009
Last Updated
June 14, 2012

Practice Location

  • 929 Ridgeway Ave
  • Rochester, NY 14615-3824

Phone: (585) 734-4484

Specialties

  • Point of Service (305S00000X)
Full Record
NPI
1972743326
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Shadefai Goldsmith
Mailing Street Address
929 Ridgeway Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-3824
Mailing Country
US
Mailing Phone
(585) 734-4484
Practice Street Address
929 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3824
Practice Country
US
Practice Phone
(585) 734-4484
Enumeration Date
February 25, 2009
Last Updated
June 14, 2012
Authorized Official Last Name
Goldsmith
Authorized Official First Name
Shadefai
Authorized Official Middle Name
Zsalinn
Authorized Official Title
Licensed Practical Nurse
Authorized Official Phone
(585) 413-3762
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Point of Service (305S00000X)