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NPI Code Detail

MEDICARE: YURIY BYCHKIV

MEDICARE: YURIY BYCHKIV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist022504NY

General Provider Information

NPI Number : 1396051272
Entity Type Code : Individual
Provider Name (Legal Business Name) : YURIY BYCHKIV
Provider Business Mailing Address
First Line : 3512 QUENTIN RD STE 110
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3512 QUENTIN RD STE 110
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4245
Country : US
Telephone Number : 800-275-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2010
Last Update Date : 12/05/2018

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Directions to “ YURIY BYCHKIV ” Practice Location

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