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Individual
VITALIY PEKA
Active
Individual
VITALIY PEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000099
NY
363A00000X
Physician Assistant
Primary
000099
NY
Other
Enumeration date
07/10/2008
Last updated
12/18/2023
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