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NPI Code Detail

MEDICARE: DR. NATALIYA YURIIVNA TKACHUK MD

MEDICARE: DR. NATALIYA YURIIVNA TKACHUK MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730766718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIYA YURIIVNA TKACHUK MD
Provider Business Mailing Address
First Line : 400 S GREENWOOD AVE
Second Line :
City : EASTON
State : PA
Zip : 18045-3776
Country : US
Telephone Number : 484-822-5205
Fax Number : 833-214-9836
Provider Business Practice Location Address
First Line : 400 S GREENWOOD AVE
Second Line :
City : EASTON
State : PA
Zip : 18045-3776
Country : US
Telephone Number : 484-822-5205
Fax Number : 833-214-9836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 06/13/2022

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