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Organization

OMEGA FAMILY HEALTH CARE, PA, P.C.

Active
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Organization

OMEGA FAMILY HEALTH CARE, PA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES E TKACIK PA-C (PRESIDENT/CEO)
(716) 307-3156
Entity
Organization

Contact information

Practice address
419 N 8TH ST, OLEAN, NY 14760-2237
(716) 307-3156
Mailing address
419 N 8TH ST, OLEAN, NY 14760-2237
(716) 307-3156

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004883-1
NY

Other

Enumeration date
11/04/2007
Last updated
11/04/2007
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