Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 269664 | NY |
NPI | 1437448875 |
---|---|
Provider Name | Jessica Charlotte Gooch |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 21/05/2018 |