Physician Compare National (NPI:1720046857)

HEALTHCARE PROVIDER: DAMIAN J HAVRILIAK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720046857
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092730689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051012001056
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAVRILIAK
	Individual professional last name
Provider First Name	DAMIAN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	350 ENGLE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	ENGLEWOOD HOSPITAL
	Group Practice or individual's line 2 address
City	ENGLEWOOD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076311808
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2018943000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y