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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSHUA SCACCIA GOODMAN, PA

Active

JOSHUA SCACCIA GOODMAN, PA is a Medical Physician Assistant healthcare provider located in LAKEVILLE, New York. NPI 1356041123 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKEVILLE, NY

Registration Details

NPI Number
1356041123
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2023 (3.4798834163252 yrs)
Last Updated
May 4, 2025
License
029399 (NY)

Practice Information

Address
5989 BIG TREE RD STE A
LAKEVILLE, NY, 144809719
Browse NY providers · Browse ZIP 14480
Phone
5853464460
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.