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NPI Code Detail

MEDICARE: IRENE PIWTORAK

MEDICARE: IRENE PIWTORAK
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
1101Y00000XCounselorC0500440OH

General Provider Information

NPI Number : 1932296605
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE PIWTORAK
Provider Business Mailing Address
First Line : 2122 COLEMAN DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44511-2204
Country : US
Telephone Number : 440-998-4210
Fax Number : 440-998-6489
Provider Business Practice Location Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number : 440-998-4210
Fax Number : 440-998-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/08/2007

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Directions to “ IRENE PIWTORAK ” Practice Location

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