ROMAN GORCHAKOV

ROCHESTER, NY
NPI1760158265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  027294)
Enumeration Date2021-08-17
Last Update Date2022-10-18
Business Address
ROMAN GORCHAKOV PA
1425 PORTLAND AVE
ROCHESTER, NY 14621-3095
Phone number: 585-922-4409
Mailing Address
ROMAN GORCHAKOV PA
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-4409