Kathleen M Goff, NP | |
4900 Broad Rd, Cgh Pob Suite 2v, Syracuse, NY 13215-2265 | |
(315) 492-5005 | |
(315) 492-5324 |
Full Name | Kathleen M Goff |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4900 Broad Rd, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194711911 | NPI | - | NPPES |
02197771 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F330961 (New York) | Primary |
Entity Name | Shane M Sopp Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952397705 PECOS PAC ID: 8527120575 Enrollment ID: O20081229000444 |
Mailing Address | Practice Location Address |
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Kathleen M Goff, NP Po Box 2003, East Syracuse, NY 13057-4503 Ph: (315) 446-3904 | Kathleen M Goff, NP 4900 Broad Rd, Cgh Pob Suite 2v, Syracuse, NY 13215-2265 Ph: (315) 492-5005 |
Janice M Agen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141 | |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Mrs. Yingzi Wang, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 | |
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |