Individual
JAMES TKACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 372-0141
Mailing address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 372-0141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0048831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02503799
—
NY
Enumeration date
07/20/2006
Last updated
07/19/2026
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