Individual
DANIEL CHENTORYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9106307
FL
363AS0400X
Surgical Physician Assistant
Primary
0962
NH
363AS0400X
Surgical Physician Assistant
9106307
FL
Other
Enumeration date
11/10/2011
Last updated
10/04/2013
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