Individual
JAMES EGNATCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 ORCHARD PARK RD, SUITE B103, WEST SENECA, NY 14224-2646
(716) 677-5005
(716) 712-0160
Mailing address
550 ORCHARD PARK RD, SUITE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006
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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