Individual
MARGARITA ZHAVORONKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 WESTFALL RD, BLDG A, ROCHESTER, NY 14618-2638
(585) 368-4141
Mailing address
919 WESTFALL RD, BLDG A, ROCHESTER, NY 14618-2638
(585) 368-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
214739
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
214739
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02119657
—
NY
01
—
P00838560
MEDICARE RR
NY
Enumeration date
07/08/2006
Last updated
04/23/2021
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