Most Relevant Information
Provider Data
| NPI Number: | 1003557968 |
| Provider Name: | FILIP KORITYSSKIY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
990 SOUTH AVE STE 207
ROCHESTER
NY
146202762
Practice Location Phone/Fax
| Phone: | 5853416775 |
| Fax: | 5853418310 |
Provider Mailing Location
601 ELMWOOD AVE
ROCHESTER
NY
146420001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |