Organization
DANIEL R YANICKO JR MD PA
Active
Other names
Seaford Orthopedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R YANICKO JR. M.D. (PRESIDENT -- ORTHOPAEDIC SURGEON)
(302) 236-1894
Entity
Organization
Contact information
Practice address
465 PINE ST, SOMERSET, KY 42503-4310
(302) 236-1894
Mailing address
465 PINE ST, SOMERSET, KY 42503-4310
(302) 236-1894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C1-0008111
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000041262
—
DE
Enumeration date
10/03/2006
Last updated
05/22/2012
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