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NPI Code Detail

MEDICARE: DR. AMY V GORCZYNSKI M.D.

MEDICARE: DR. AMY V GORCZYNSKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2124591NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225022437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY V GORCZYNSKI M.D.
Provider Business Mailing Address
First Line : 111 HOSPITAL DR
Second Line :
City : UTICA
State : NY
Zip : 13502-2517
Country : US
Telephone Number : 315-801-8534
Fax Number : 315-801-8391
Provider Business Practice Location Address
First Line : 37 MAIN ST
Second Line :
City : WHITESBORO
State : NY
Zip : 13492-1034
Country : US
Telephone Number : 315-624-8800
Fax Number : 315-624-8810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 03/19/2025

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