Healthcare Provider Details

I. General information

NPI: 1811951668
Provider Name (Legal Business Name): AURORA R. GOCHOCO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 N MAIN ST
WARSAW NY
14569-1029
US

IV. Provider business mailing address

PO BOX 228
WARSAW NY
14569-0228
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8722
  • Fax: 585-786-3366
Mailing address:
  • Phone: 585-786-8722
  • Fax: 585-786-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number146849
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: