Provider Demographics
NPI:1467774570
Name:URMANEC, CHARLES (LPN)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:
Last Name:URMANEC
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GREENBRANCH RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-4117
Mailing Address - Country:US
Mailing Address - Phone:716-674-1744
Mailing Address - Fax:
Practice Address - Street 1:12 GREENBRANCH RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-4117
Practice Address - Country:US
Practice Address - Phone:716-674-1744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176113-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse