Individual
AMEY R DZIULKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006624-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026554801
UNIVERA
NY
01
—
000570173003
HEALTH NOW
NY
05
—
02074899
—
NY
01
—
161000580
NOVA
NY
01
—
9512201
IHA
NY
Enumeration date
07/30/2006
Last updated
08/31/2015
Update your record
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