Individual
GREGORY T TYMCHAK
Active
Individual
GREGORY T TYMCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025517004
UNIVERA
—
01
—
000524750011
BLUE SHIELD OF WESTERN NY
—
01
—
1608981
INDEPENDENT HEALTH
—
01
—
2037976CR
WORKERS COMPENSATION
NY
Enumeration date
11/30/2005
Last updated
09/25/2012
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