National Provider Identifier
Patrycia Mikiciuk
Patrycia Mikiciuk is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-3011.
Profile Overview
- NPI
- 1760376180
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (607) 274-3011
Mailing Address
- 212 Mascot Dr
- Rochester, NY 14626-1706
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1760376180
- Entity Type
- Individual
- Last Name
- Mikiciuk
- First Name
- Patrycia
- Mailing Street Address
- 212 Mascot Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-1706
- Mailing Country
- US
- Mailing Phone
- (585) 287-3268
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)