Individual provider · Type 1 NPI

Roman Gorchakov, PA

Medical Physician Assistant · Rochester, NY

NPI number 1760158265 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3095

Call (585) 922-4409 Map

Fax (585) 922-4833

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X027294 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1760158265

Roman Gorchakov, PA's National Provider Identifier is 1760158265, issued on Aug 17, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Oct 18, 2022.