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Organization
OMEGA II, LLC
Active
Organization
OMEGA II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E TKACIK (CEO)
(716) 379-8113
Entity
Organization
Contact information
Practice address
419 N 8TH ST, OLEAN, NY 14760-2237
(716) 379-8113
(716) 379-8115
Mailing address
419 N 8TH ST, OLEAN, NY 14760-2237
(716) 379-8113
(716) 379-8115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
161469
NY
363A00000X
Physician Assistant
004883-1
NY
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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