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Individual

MR. IGOR GORCHAKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3555
(585) 273-1259
Mailing address
8 HUMMINGBIRD WAY, WEST HENRIETTA, NY 14586-9309
(585) 880-3637

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309174-01
NY

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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