National Provider Identifier
Tatyana Petrovna Coryell, PA
Tatyana Petrovna Coryell, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7738.
Profile Overview
- NPI
- 1922282508
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 19, 2007
- Last Updated
- July 31, 2012
Practice Location
- 1555 Long Pond RD
- Surgical Pre-Testing
- Rochester, NY 14626-4122
Phone: (585) 723-7738
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1922282508
- Entity Type
- Individual
- Last Name
- Coryell
- First Name
- Tatyana
- Middle Name
- Petrovna
- Name Prefix
- Mrs.
- Credential
- PA
- Mailing Street Address
- 1555 Long Pond RD
- Mailing Address Line 2
- Surgical Pre-Testing
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7738
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Surgical Pre-Testing
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7738
- Enumeration Date
- December 19, 2007
- Last Updated
- July 31, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)