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James Tkacik, PA-C
Medical Physician Assistant in Allegany, New York
NPI 1114947363

James Tkacik is a Medical Physician Assistant based in Allegany, NY and is specialized in Medical. James Tkacik practices in Allegany, NY and has the professional credentials of PA-C. The NPI Number for James Tkacik is 1114947363 and holds a License No. 0048831 (New York).

The current practice location address for James Tkacik is 112 W Main St, Allegany, NY and can be reached out via phone at 716-373-0700 and via fax at 716-373-7270.

Location: 112 W Main St, Allegany, NY, 14706-1204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114947363
Provider Name
James Tkacik
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
112 W Main St, Allegany, NY, 14706-1204
Phone Number
716-373-0700
Fax Number
716-373-7270
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02503799 05 NY
institution
Provider Business Practice Location Address Details
Address
112 W Main St
City
Allegany
State
New York
Zip
14706-1204
Phone Number
716-373-0700
Fax Number
716-373-7270
person
Provider Business Mailing Address Details
Address
112 W Main St
City
Allegany
State
New York
Zip
14706-1204
Phone Number
716-373-0700
Fax Number
716-373-7270
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0048831 (New York)
Definition
Definition to come...
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