National Provider Identifier
Josiah James Surbatovich, PHYSICIAN ASSISTANT
Josiah James Surbatovich, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Brockport, NY and a listed phone number of (585) 395-6052.
Profile Overview
- NPI
- 1275045791
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 25, 2017
- Last Updated
- January 30, 2018
Practice Location
- 170 West Ave
- Brockport, NY 14420-1227
Phone: (585) 395-6052
Mailing Address
- 105 Canal Landing Blvd Ste 1
- Rochester, NY 14626-5107
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1275045791
- Entity Type
- Individual
- Last Name
- Surbatovich
- First Name
- Josiah
- Middle Name
- James
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 105 Canal Landing Blvd Ste 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5107
- Mailing Country
- US
- Mailing Phone
- (585) 368-4050
- Mailing Fax
- (585) 723-6705
- Practice Street Address
- 170 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1227
- Practice Country
- US
- Practice Phone
- (585) 395-6052
- Practice Fax
- (585) 395-6007
- Enumeration Date
- October 25, 2017
- Last Updated
- January 30, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)