National Provider Identifier
Roman Gorchakov, PA
Roman Gorchakov, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4409.
Profile Overview
- NPI
- 1760158265
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 17, 2021
- Last Updated
- October 18, 2022
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3095
Phone: (585) 922-4409
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- roman.gorchakov@rochesterregional.org
Direct Messaging Address | Rochester, NY 14621
Full Record
- NPI
- 1760158265
- Entity Type
- Individual
- Last Name
- Gorchakov
- First Name
- Roman
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4409
- Mailing Fax
- (585) 922-4833
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3095
- Practice Country
- US
- Practice Phone
- (585) 922-4409
- Practice Fax
- (585) 922-4833
- Enumeration Date
- August 17, 2021
- Last Updated
- October 18, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)