Individual
VICTOR JOHN TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(718) 692-5300
(516) 437-4167
Mailing address
1981 MARCUS AVE, SUITE 208, LAKE SUCCESS, NY 11042-1038
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
162514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934327
—
NY
Enumeration date
06/17/2006
Last updated
08/27/2007
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