National Provider Identifier
Vitaly Vavrinyuk, RN
Vitaly Vavrinyuk, RN is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Ithaca, NY and a listed phone number of (607) 254-4636.
Profile Overview
- NPI
- 1942807003
- Provider Type
- Individual
- Primary Specialty
- Pediatric Registered Nurse
- Enumeration Date
- October 02, 2020
- Last Updated
- October 02, 2020
Practice Location
- 300 West Ave
- Ithaca, NY 14853-6002
Phone: (607) 254-4636
Mailing Address
- 121 Veterans Pl Unit E-104
- Ithaca, NY 14850-6900
Specialties
- Pediatric Registered Nurse (163WP0200X)
Full Record
- NPI
- 1942807003
- Entity Type
- Individual
- Last Name
- Vavrinyuk
- First Name
- Vitaly
- Credential
- RN
- Mailing Street Address
- 121 Veterans Pl Unit E-104
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-6900
- Mailing Country
- US
- Mailing Phone
- (253) 306-2691
- Practice Street Address
- 300 West Ave
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-6002
- Practice Country
- US
- Practice Phone
- (607) 254-4636
- Enumeration Date
- October 02, 2020
- Last Updated
- October 02, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Registered Nurse (163WP0200X)