National Provider Identifier
Gordon Botchway
Gordon Botchway is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 502-0506.
Profile Overview
- NPI
- 1801212865
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 13, 2014
- Last Updated
- March 13, 2014
Practice Location
- 361 Chili Ave
- Rochester, NY 14611-2556
Phone: (585) 502-0506
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1801212865
- Entity Type
- Individual
- Last Name
- Botchway
- First Name
- Gordon
- Name Prefix
- Mr.
- Provider Other Last Name
- Botchway
- Provider Other First Name
- Gordon
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 361 Chili Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2556
- Mailing Country
- US
- Mailing Phone
- (585) 502-0506
- Practice Street Address
- 361 Chili Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2556
- Practice Country
- US
- Practice Phone
- (585) 502-0506
- Enumeration Date
- March 13, 2014
- Last Updated
- March 13, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)