| NPI Details | |
|---|---|
| NPI | 1003193103 |
| Gender | Male |
| Enumeration Date | 11/03/2011 |
| Last Updated | 11/03/2011 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 8300 W RIDGE RD GIRARD PA, 16417, US |
|
| Phone | (814) 474-5521 |
| Fax | (814) 474-9253 |
| Business Location | |
|---|---|
| 2810 W 35TH ST ERIE PA, 16506-3376, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225200000X |
| License State | Pennsylvania |
| License Number | TE009026 |
| Remove 1003193103 NPI Number | |
According to our database, Vadim Sychuk PTA NPI is 1003193103, taxonomy code is 225200000X and license number is TE009026, license state is located at Pennsylvania. Vadim Sychuk PTA physically located at 8300 W Ridge Rd, Girard PA, 16417. NPI Number Vadim Sychuk PTA has the Individual type.
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1003193103 NPI number is provided on an as is basis without warranty of any kind. 1003193103 is maintained by the National Plan & Provider Enumeration System. The contents of Vadim Sychuk PTA are for informational purposes only.
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