National Provider Identifier
Taras Nazarevych, PA
Taras Nazarevych, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Oakfield, NY and a listed phone number of (585) 948-8077.
Profile Overview
- NPI
- 1902574577
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 31, 2021
- Last Updated
- October 26, 2021
Practice Location
- 41 Main St
- Oakfield, NY 14125-1014
Phone: (585) 948-8077
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1902574577
- Entity Type
- Individual
- Last Name
- Nazarevych
- First Name
- Taras
- 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) 948-8077
- Mailing Fax
- (585) 948-9159
- Practice Street Address
- 41 Main St
- Practice City
- Oakfield
- Practice State
- NY
- Practice ZIP Code
- 14125-1014
- Practice Country
- US
- Practice Phone
- (585) 948-8077
- Practice Fax
- (585) 948-9159
- Enumeration Date
- August 31, 2021
- Last Updated
- October 26, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)