National Provider Identifier
Rebecca Lynn Gorsak, MMS, PA-C
Rebecca Lynn Gorsak, MMS, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 339-0494.
Profile Overview
- NPI
- 1346920972
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 19, 2023
- Last Updated
- May 06, 2024
Practice Location
- 40 Catherwood RD
- Ithaca, NY 14850-1056
Phone: (607) 339-0494
Mailing Address
- 101 Dates Dr
- Ithaca, NY 14850-1342
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1346920972
- Entity Type
- Individual
- Last Name
- Gorsak
- First Name
- Rebecca
- Middle Name
- Lynn
- Credential
- MMS, PA-C
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Practice Street Address
- 40 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1056
- Practice Country
- US
- Practice Phone
- (607) 339-0494
- Enumeration Date
- July 19, 2023
- Last Updated
- May 06, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)