DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OLIVIA GODLEY

MEDICARE: OLIVIA GODLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1891633004
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA GODLEY
Provider Business Mailing Address
First Line : 3 CHESTNUT ST
Second Line :
City : WATERLOO
State : NY
Zip : 13165-1013
Country : US
Telephone Number : 315-651-0654
Fax Number :
Provider Business Practice Location Address
First Line : 1455 E RIDGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-2006
Country : US
Telephone Number : 585-922-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

Similar Medicare Providers

1245971498 — ABDUL MANNAN DO
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-4101
Practice Fax: 585-922-5822
1730664152 — DANIELLE GRESS-CLARK
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-2575
Practice Fax: 585-922-5033
1275533408 — DR. JEFFREY VUILLEQUEZ M.D.
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-4101
Practice Fax:
1073568556 — DR. THOMAS EDWARD HELFST DDS
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-4103
Practice Fax: 585-922-4495
1669401253 — MIYEON OH MD
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-4882
Practice Fax: 585-922-4936
1821023854 — SHOBHA BOGHANI M.D.
Practice Location Address:
1455 E RIDGE RD
ROCHESTER, NY
14621-2006
Practice Phone: 585-922-4315
Practice Fax: 585-922-5741

Directions to “ OLIVIA GODLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.