Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JON GOOTNICK, PA
ActiveMR. JON GOOTNICK, PA is a Medical Physician Assistant healthcare provider located in HENRIETTA, New York. NPI 1578506515 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HENRIETTA, NY
Registration Details
- NPI Number
- 1578506515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.21413196017 yrs)
- Last Updated
- Dec 24, 2022
- License
-
002056 (NY)
Practice Information
- Address
-
2685 E HENRIETTA RDHENRIETTA, NY, 144679370Browse NY providers · Browse ZIP 14467
- Phone
- 5854440058
- Fax
- 5854440108
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HENRIETTA, NY
| Name | Credential | NPI |
|---|---|---|
| CARA ELIZABETH MARSH | PA | 1790917268 |
| ABBY SUE KOHL | PA-C | 1508331083 |
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.