National Provider Identifier
Bryan Pankiw, PTA
Bryan Pankiw, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Canandaigua, NY and a listed phone number of (585) 393-0554.
Profile Overview
- NPI
- 1902338072
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- March 29, 2017
- Last Updated
- March 29, 2017
Practice Location
- 275 Parrish St Ste A
- Canandaigua, NY 14424-1785
Phone: (585) 393-0554
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1902338072
- Entity Type
- Individual
- Last Name
- Pankiw
- First Name
- Bryan
- Credential
- PTA
- Mailing Street Address
- 275 Parrish St Ste A
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1785
- Mailing Country
- US
- Mailing Phone
- (585) 393-0554
- Mailing Fax
- (585) 393-0676
- Practice Street Address
- 275 Parrish St Ste A
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1785
- Practice Country
- US
- Practice Phone
- (585) 393-0554
- Practice Fax
- (585) 393-0676
- Enumeration Date
- March 29, 2017
- Last Updated
- March 29, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)