Ivan Shvachuk MD

NPI 1154346393 - Family Medicine - 207Q00000X

NPI Details
NPI 1154346393
Gender Male
Enumeration Date 07/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1101 NOTT ST
SCHENECTADY NY, 12308-2425, US
Phone (518) 243-4000
Fax
Business Location
1462 ERIE BLVD
SUITE 2
SCHENECTADY NY, 12305-1026, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 240695
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According to our database, Ivan Shvachuk MD NPI is 1154346393, taxonomy code is 207Q00000X and license number is 240695, license state is located at New York. Ivan Shvachuk MD physically located at 1101 Nott St, Schenectady NY, 12308-2425. NPI Number Ivan Shvachuk MD has the Individual type.

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1154346393 NPI number is provided on an as is basis without warranty of any kind. 1154346393 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Shvachuk MD are for informational purposes only.