National Provider Identifier
Filip Koritysskiy
Filip Koritysskiy is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 341-6775.
Profile Overview
- NPI
- 1003557968
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 05, 2022
- Last Updated
- May 26, 2022
Practice Location
- 990 South Ave Ste 207
- Rochester, NY 14620-2762
Phone: (585) 341-6775
Mailing Address
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1003557968
- Entity Type
- Individual
- Last Name
- Koritysskiy
- First Name
- Filip
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 990 South Ave Ste 207
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2762
- Practice Country
- US
- Practice Phone
- (585) 341-6775
- Practice Fax
- (585) 341-8310
- Enumeration Date
- April 05, 2022
- Last Updated
- May 26, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)