PATRICK K GOODWIN LPN
NPI 1194002865
Licensed Practical Nurse in Syracuse, NY

Q: What is Patrick Goodwin's NPI number?

The NPI number for Patrick Goodwin is 1194002865. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Q: What is Patrick Goodwin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Goodwin was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2011

2105 W GENESEE ST, SYRACUSE, NY 13219(315) 468-3239(315) 468-2917 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Patrick K Goodwin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK K GOODWIN LPN (NPI 1194002865) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (292820-1) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1194002865

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NamePATRICK K GOODWINCredential: LPN

Location Address2105 W GENESEE STSyracuse, NY 13219-1698

Mailing Address103 Wilson DrEast Syracuse, NY 13057-2735 · (315) 656-8765

Phone(315) 468-3239

Fax(315) 468-2917

Sole ProprietorNo

Enumeration DateNovember 9, 2011

✔ NPI 1194002865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 292820-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2105 W GENESEE ST, Syracuse, NY 13219

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Other Identifiers 1

Other292820-1NY · Lpn License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RANDALL STETSON LCSW

Social Worker (Clinical)

2105 W GENESEE ST, STE 209
SYRACUSE, NY 13219

Onondaga County (315) 395-2893

ANGELA D BOOKER LPN

Licensed Practical Nurse