Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitaly Vavrinyuk, RN

Individual provider Pediatric Registered Nurse · NPI 1942807003

Vitaly Vavrinyuk, RN is a Pediatric Registered Nurse in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

300 W Ave
Ithaca, NY 14853-6002
Phone: (607) 254-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 746036 (NY)

Record details

NPI number1942807003
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 2, 2020
Last updated in NPPESOctober 2, 2020
Certification dateOctober 1, 2020

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