Individual
DR. JOHN A MYCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 E STATE ST, MAB SUITE 101, GLOVERSVILLE, NY 12078-1203
(518) 775-4360
(518) 773-5237
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4360
(518) 773-5237
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
140839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544225
—
NY
Enumeration date
01/03/2006
Last updated
01/21/2015
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