Individual
JAMES EGNATCHIK
Active
Individual
JAMES EGNATCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1432671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010050501
UNIVERA HEALTHCARE
NY
01
—
000511384002
BLUE CROSS BLUE SHIELD
NY
05
—
00686833
—
NY
01
—
0604042
INDEPENDENT HEALTH
NY
01
—
140005699
RAILROAD MEDICARE
—
Enumeration date
12/19/2005
Last updated
07/25/2012
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