Provider Demographics
NPI:1013660232
Name:SVAY, WILLIAM PICH
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PICH
Last Name:SVAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 SMITH ST # 118
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2677
Mailing Address - Country:US
Mailing Address - Phone:978-483-7612
Mailing Address - Fax:
Practice Address - Street 1:118 SMITH ST # 118
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2677
Practice Address - Country:US
Practice Address - Phone:978-483-7612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN94501164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse