VITALY VAVRINYUK

ITHACA, NY
NPI1942807003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0200X Registered Nurse, Pediatrics
(Licence: NY  746036)
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
VITALY VAVRINYUK RN
300 WEST AVE
ITHACA, NY 14853-6002
Phone number: 607-254-4636
Mailing Address
VITALY VAVRINYUK RN
121 VETERANS PL UNIT E-104
ITHACA, NY 14850-6900
Phone number: 253-306-2691