Individual
DR. ASKOLD ROMAN WYNNYKIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
351 OSBORNE RD, LOUDONVILLE, NY 12211-1660
(518) 432-3991
(518) 432-3987
Mailing address
351 OSBORNE RD, LOUDONVILLE, NY 12211-1660
(518) 432-3991
(518) 432-3987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141817590
FEDERAL TAX ID
NY
Enumeration date
01/19/2006
Last updated
05/19/2016
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