Individual provider · Type 1 NPI

Victoria Gorelova

Medical Physician Assistant · Middletown, NY

NPI number 1588680623 Active

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Fax (845) 703-6297

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011168 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1588680623

Victoria Gorelova's National Provider Identifier is 1588680623, issued on Jul 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, NY. The record was last updated on Sep 9, 2020.