National Provider Identifier
Irina Odeychuk, PA
Irina Odeychuk, PA 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.
Profile Overview
- NPI
- 1790286649
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 26, 2018
- Last Updated
- August 23, 2021
Practice Location
- 1000 South Ave # N
- Rochester, NY 14620-2733
Phone: (585) 473-2200
Mailing Address
- 1000 South Ave
- Rochester, NY 14620-2733
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1790286649
- Entity Type
- Individual
- Last Name
- Odeychuk
- First Name
- Irina
- Name Prefix
- Miss
- Credential
- PA
- Mailing Street Address
- 1000 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2733
- Mailing Country
- US
- Mailing Phone
- (585) 341-8280
- Practice Street Address
- 1000 South Ave # N
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- February 26, 2018
- Last Updated
- August 23, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- August 23, 2021
- Taxonomies
- Physician Assistant (363A00000X)