| Doctor Name: | MRS. PATRICE ANNETTE GREGOREK GOODRICH |
| NPI Number: | 1043494321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 069273-1 |
| Business Practice Address: | 24 Main St Suite 3 Hilton, NY - 144681211 |
| Business Phone Number: | 5853928771 |
| Business Fax Number: | |
| Mailing Address: | 5 Cooper Dr, HILTON |
| State: | NY |
| Postal Code: | 144681341 |
| Phone Number: | 5853929505 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2007 |
| NPI Last Update Date: | 12/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 069273-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |