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Individual

NATAN KHISHCHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 LAC DEVILLE BLVD., SUITE 1, ROCHESTER, NY 14618
(585) 546-3265
(585) 232-5158
Mailing address
2101 LAC DEVILLE BLVD., SUITE 1, ROCHESTER, NY 14618
(585) 546-3265
(585) 232-5158

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20726
NH
2084N0400X
Neurology Physician
Primary
245745
NY
2084N0400X
Neurology Physician
90972
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02909722
NY
Enumeration date
05/10/2007
Last updated
07/21/2022
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