Individual provider · Type 1 NPI
Igor Gorchakov, NP
Adult Health Nurse Practitioner · Rochester, NY
NPI number
1073169173
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Fax (585) 273-1259
Mailing address
8 Hummingbird Way
West Henrietta, NY 14586-9309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309174-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1073169173
Igor Gorchakov, NP's National Provider Identifier is 1073169173, issued on Aug 14, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rochester, NY. The record was last updated on Aug 14, 2019.