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1154963387
ANDREW TKACIK
CORTLAND, NY
NPI
1154963387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026835)
Enumeration Date
2019-10-09
Last Update Date
2022-12-19
Business Address
ANDREW TKACIK
134 HOMER AVE
CORTLAND, NY 13045-1206
Phone number: 607-756-3740
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Mailing Address
ANDREW TKACIK
43091 COLUMBIANA WATERFORD RD
COLUMBIANA, OH 44408-9435
Phone number: 724-630-1126
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