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1760158265
ROMAN GORCHAKOV
ROCHESTER, NY
NPI
1760158265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 027294)
Enumeration Date
2021-08-17
Last Update Date
2022-10-18
Business Address
ROMAN GORCHAKOV PA
1425 PORTLAND AVE
ROCHESTER, NY 14621-3095
Phone number: 585-922-4409
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Mailing Address
ROMAN GORCHAKOV PA
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-4409
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