Individual
ROMAN GORCHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3095
(585) 922-4409
(585) 922-4833
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4409
(585) 922-4833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027294
NY
Other
Enumeration date
08/17/2021
Last updated
10/18/2022
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