National Provider Identifier

David Boguta, PA-C

David Boguta, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.

NPI 1285234088Rochester, NYPhysician Assistant

Profile Overview

NPI
1285234088
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 29, 2020
Last Updated
October 29, 2020

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2733

Phone: (585) 473-2200

Mailing Address

  • 339 Whispering Pines Cir
  • Rochester, NY 14612-2789

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1285234088
Entity Type
Individual
Last Name
Boguta
First Name
David
Credential
PA-C
Mailing Street Address
339 Whispering Pines Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-2789
Mailing Country
US
Mailing Phone
(585) 236-6534
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 473-2200
Enumeration Date
October 29, 2020
Last Updated
October 29, 2020
Sex
Male
Sole Proprietor
No
Certification Date
October 29, 2020
Taxonomies
Physician Assistant (363A00000X)