Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roman Tkachenko, PA-C

Individual provider Physician Assistant · NPI 1023981701

Roman Tkachenko, PA-C is a Physician Assistant in Dobbs Ferry, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

555 Broadway
Dobbs Ferry, NY 10522-1186
Phone: (914) 674-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1023981701
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 27, 2025
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025
Mailing address555 Broadway, Dobbs Ferry, NY 10522-1186

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