Individual
TARAS NAZAREVYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 MAIN ST, OAKFIELD, NY 14125-1014
(585) 948-8077
(585) 948-9159
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 948-8077
(585) 948-9159
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027264
NY
Other
Enumeration date
08/31/2021
Last updated
10/26/2021
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