Provider Demographics
NPI:1740211242
Name:HRYCKO, AARON A (PT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:A
Last Name:HRYCKO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 OLEAN RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-9738
Mailing Address - Country:US
Mailing Address - Phone:716-655-0165
Mailing Address - Fax:716-655-4775
Practice Address - Street 1:1036 OLEAN RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-9738
Practice Address - Country:US
Practice Address - Phone:716-655-0165
Practice Address - Fax:716-655-4775
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021029174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA4653Medicare ID - Type UnspecifiedPHYSICAL THERAPIST