Individual
ANDREW TKACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3740
Mailing address
43091 COLUMBIANA WATERFORD RD, COLUMBIANA, OH 44408-9435
(724) 630-1126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026835
NY
Other
Enumeration date
10/09/2019
Last updated
12/19/2022
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