VATHASINLAPA DOMINIK VASAVONG

ROCHESTER, NY
NPI1144959909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  028479)
Enumeration Date2022-06-07
Last Update Date2023-08-10
Business Address
VATHASINLAPA DOMINIK VASAVONG PA-C
1555 LONG POND RD
ROCHESTER, NY 14626-4164
Phone number: 585-723-7870
Mailing Address
VATHASINLAPA DOMINIK VASAVONG PA-C
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-723-7870
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