Omega Ii, LLC

NPI #1700050804 in Olean, New York

Provider Information

NPI Number: 1700050804
Entity Type: Organization
Organization Name: Omega Ii, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 18, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 419 N 8TH ST
City: Olean
State: New York
ZIP Code: 14760-2237
Phone: (716) 379-8113

Authorized Official

Name: MR. JAMES E TKACIK
Title: CEO
Phone: (716) 379-8113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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