| Michael R. Hryvniak, M.d., P.c. | |
|
4001 Fair Ridge Dr Ste 305 Fairfax VA 22033-2917 | |
| (703) 448-3133 | |
| (703) 218-1824 |
| Full Name | Michael R. Hryvniak, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4001 Fair Ridge Dr Ste 305, Fairfax, Virginia |
| Authorized Official Name and Position | Michael R. Hryvniak (PRESIDENT) |
| Authorized Official Contact | 7034483133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Hryvniak, M.d., P.c. 4001 Fair Ridge Dr Ste 305 Fairfax VA 22033-2917 Ph: (703) 448-3133 | Michael R. Hryvniak, M.d., P.c. 4001 Fair Ridge Dr Ste 305 Fairfax VA 22033-2917 Ph: (703) 448-3133 |
| NPI Number | 1699910679 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 10/18/2009 |
| Medicare PECOS PAC ID | 9739237058 |
|---|---|
| Medicare Enrollment ID | O20090424000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699910679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Michael R Hryvniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568533693 PECOS PAC ID: 9032174826 Enrollment ID: I20041122000103 |
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