Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 577859D5L | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 037084E | PA |
NPI | 1952377152 |
---|---|
Provider Name | Halina Zyczynski |
First Address | Pittsburgh, PA 15213-3108 |
Second Address | Pittsburgh, PA 15213-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E30064 | (02) | PA |