MR. Ivan Ivanovich Drazek, PA-C

NPI #1285814616 in Camillus, New York

Provider Information

NPI Number: 1285814616
Entity Type: Individual
Name: MR. Ivan Ivanovich Drazek, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 14, 2007
Last Updated: May 1, 2008

Practice Location

Address: 103 VICEROY DR
City: Camillus
State: New York
ZIP Code: 13031-3001
Phone: (315) 882-4923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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