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NPI Code Detail

MEDICARE: VICTOR L TULCHINSKY DO

MEDICARE:   VICTOR L TULCHINSKY  DO
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
1207Q00000XFamily Medicine Physician235030NY

General Provider Information

NPI Number : 1720072952
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR L TULCHINSKY DO
Provider Business Mailing Address
First Line : 255 LARK ST
Second Line :
City : ALBANY
State : NY
Zip : 12210-1108
Country : US
Telephone Number : 518-482-1570
Fax Number : 518-482-5051
Provider Business Practice Location Address
First Line : 255 LARK ST
Second Line :
City : ALBANY
State : NY
Zip : 12210-1108
Country : US
Telephone Number : 518-482-1570
Fax Number : 518-482-5051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/03/2013

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