Provider Demographics
NPI:1982285284
Name:GRATCH, MARIA ROSA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ROSA
Last Name:GRATCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:LEVCHUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:133 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2930
Mailing Address - Country:US
Mailing Address - Phone:585-490-4805
Mailing Address - Fax:
Practice Address - Street 1:1200 MARKETPLACE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-6002
Practice Address - Country:US
Practice Address - Phone:585-292-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty