Provider Demographics
NPI:1144895475
Name:GERSHOVICH, EVA (DDS)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:GERSHOVICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:VOLMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:455 FRONT ST EAST
Mailing Address - Street 2:UNIT S310
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5A 0G2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2913
Practice Address - Country:US
Practice Address - Phone:585-275-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program