Goodyear, Patricia Ann

Goodyear, Patricia Ann is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goodyear, Patricia Ann can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-1800
Fax: (315) 464-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 301677 New York

Profile Details

NPI number 1427013325
LBN Legal business name Goodyear, Patricia Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 22nd, 2010 - about 14 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 1427013325 NPPES
New York MEDICAID 02185197

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