Gooch, Rebecca Ann

Gooch, Rebecca Ann is an individual health care provider with primary practice located at 2950 Elmwood Ave , Kenmore NY 14217-1304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Gooch, Rebecca Ann can be contacted via phone (716) 447-6100.

Contact Information

Primary practice address
2950 Elmwood Ave Kenmore NY 14217-1304
Phone: (716) 447-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 250449 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 442553 Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 250449 New York

Profile Details

NPI number 1255596128
LBN Legal business name Gooch, Rebecca Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Oct 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255596128 NPPES
New York MEDICAID 03072497

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