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NPI Code Detail

MEDICARE: NATALYA DYAK PA-C

MEDICARE:   NATALYA  DYAK  PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1700468972
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALYA DYAK PA-C
Provider Business Mailing Address
First Line : 774 IVYLAND RD
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2224
Country : US
Telephone Number : 215-715-1215
Fax Number :
Provider Business Practice Location Address
First Line : 3141 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2816
Country : US
Telephone Number : 215-895-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ NATALYA DYAK PA-C” Practice Location

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