Individual
DANIEL DYVINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7034
(716) 276-2123
(716) 276-2129
Mailing address
9 SAINT JOHN ST, LANCASTER, NY 14086-2009
(626) 388-8487
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298392
NY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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