MEDICARE: SYLVIA KRAFCIK

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
1	1041C0700X	Clinical Social Worker	I.0000966-SUPV	OH

General Provider Information

NPI Number	:	1861886020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA KRAFCIK

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	NEWBURY
State	:	OH
Zip	:	44065-0190
Country	:	US
Telephone Number	:	440-942-4440
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 RICHMOND RD
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2454
Country	:	US
Telephone Number	:	440-942-4440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2015
Last Update Date	:	05/01/2015

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Directions to “ SYLVIA KRAFCIK ” Practice Location

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