Individual
MICHAEL GORCZYCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3525
(631) 968-3022
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3525
(631) 968-3022
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011386
NY
Other
Enumeration date
02/20/2009
Last updated
02/16/2011
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