Denysenko, Gregory

Denysenko, Gregory is an individual health care provider with primary practice located at 2350 Ridgeway Ave , Rochester NY 14626-4112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Denysenko, Gregory can be contacted via phone (585) 225-0410.

Contact Information

Primary practice address
2350 Ridgeway Ave Rochester NY 14626-4112
Phone: (585) 225-0410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0054761 New York

Profile Details

NPI number 1215995113
LBN Legal business name Denysenko, Gregory
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215995113 NPPES
New York MEDICAID 00355266

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