National Provider Identifier
James Tkacik, PA-C
James Tkacik, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Allegany, NY and a listed phone number of (716) 373-0700.
Profile Overview
- NPI
- 1114947363
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 20, 2006
- Last Updated
- October 09, 2018
Practice Location
- 112 W Main St
- Allegany, NY 14706-1204
Phone: (716) 373-0700
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1114947363
- Entity Type
- Individual
- Last Name
- Tkacik
- First Name
- James
- Credential
- PA-C
- Mailing Street Address
- 112 W Main St
- Mailing City
- Allegany
- Mailing State
- NY
- Mailing ZIP Code
- 14706-1204
- Mailing Country
- US
- Mailing Phone
- (716) 373-0700
- Mailing Fax
- (716) 373-7270
- Practice Street Address
- 112 W Main St
- Practice City
- Allegany
- Practice State
- NY
- Practice ZIP Code
- 14706-1204
- Practice Country
- US
- Practice Phone
- (716) 373-0700
- Practice Fax
- (716) 373-7270
- Enumeration Date
- July 20, 2006
- Last Updated
- October 09, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02503799 (NY)