National Provider Identifier

Thomas Andrew Tanchick, MSW

Thomas Andrew Tanchick, MSW is listed in the NPPES registry with a primary specialty of Social Worker in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1770615874Lyons, NYSocial Worker

Profile Overview

NPI
1770615874
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 1519 Nye Road
  • Wayne Behavioral Health Network
  • Lyons, NY 14489

Phone: (315) 946-5722

Mailing Address

  • 287 Thornell RD
  • Pittsford, NY 14534

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1770615874
Entity Type
Individual
Last Name
Tanchick
First Name
Thomas
Middle Name
Andrew
Name Prefix
Mr.
Credential
MSW
Mailing Street Address
287 Thornell RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534
Mailing Country
US
Practice Street Address
1519 Nye Road
Practice Address Line 2
Wayne Behavioral Health Network
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489
Practice Country
US
Practice Phone
(315) 946-5722
Practice Fax
(315) 946-7066
Enumeration Date
March 12, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)
Other Identifiers
02249154 (NY)