Individual
OREST MYROSLAV WASYLIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 RIVERSIDE DRIVE, JOHNSON CITY, NY 13790-2711
(607) 729-2474
(607) 770-9271
Mailing address
441 RIVERSIDE DRIVE, JOHNSON CITY, NY 13790-2711
(607) 729-2474
(607) 770-9271
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
127451
NY
207X00000X
Orthopaedic Surgery Physician
MD038483E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00790607
—
NY
Enumeration date
11/08/2006
Last updated
03/22/2011
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