Doctor Name: | LYNN A GORCZYCA |
NPI Number: | 1013295484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | P-80191 |
Business Practice Address: | 1101 Nott St Schenectady, NY - 123082425 |
Business Phone Number: | 5182433610 |
Business Fax Number: | 5182433613 |
Mailing Address: | 600 Mcclellan St, 2 West SCHENECTADY |
State: | NY |
Postal Code: | 123041009 |
Phone Number: | 5183475400 |
Fax Number: | 5183475222 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | P-80191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |