| Doctor Name: | DAVID LEWIS TYMCHYN |
| NPI Number: | 1013939552 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | 073757 |
| Business Practice Address: | 1801 6th Ave Troy, NY - 121803400 |
| Business Phone Number: | 5182745143 |
| Business Fax Number: | 5182731350 |
| Mailing Address: | Po Box 31094, HARTFORD |
| State: | CT |
| Postal Code: | 061501094 |
| Phone Number: | 5189528140 |
| Fax Number: | 5189528287 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 04/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 073757 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |