Individual provider · Type 1 NPI
Vitaly Vavrinyuk, RN
Pediatric Registered Nurse · Ithaca, NY
NPI number
1942807003
Active
Practice location
300 West Ave
Ithaca, NY 14853-6002
Mailing address
121 Veterans Pl Unit E-104
Ithaca, NY 14850-6900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 746036 (NY) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Ithaca
About NPI 1942807003
Vitaly Vavrinyuk, RN's National Provider Identifier is 1942807003, issued on Oct 2, 2020. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Ithaca, NY. The record was last updated on Oct 2, 2020.