Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ERIC KONICKI MD (CHIEF OF PSYCHIATRY)
(440) 526-3030
Entity
Organization
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 546-2715
Mailing address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 546-2715
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
3425000
OH
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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