Adam Bogdan Licznerski in Watertown - Specialist
Adam Bogdan Licznerski - NPI 1447229869
Adam Bogdan Licznerski is a Specialist in Watertown, New York. Adam Bogdan Licznerski practices all healthcare services and medical treatments related to Specialist. The NPI Number for Adam Bogdan Licznerski is 1447229869. The last update date is 2007-07-08.
Adam Bogdan Licznerski's current location address is 826 Washington St, Watertown, New York. You can contact this provider via phone number 3157861500 and fax number 3157862074. The mailing address for Adam Bogdan Licznerski is 826 Washington St, Watertown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Bogdan Licznerski |
|---|---|
| Address | 826 Washington St, Watertown, New York |
| Phone Number | 3157861500 |
| Fax Number | 3157862074 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447229869 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 826 Washington St |
|---|---|
| City | Watertown |
| State | New York (NY) |
| Post Code | 136014065 |
| Phone Number | 3157861500 |
| Fax Number | 3157862074 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 189322-1 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1680515 | NY | -- | |
| AA0167 | NY | GROUP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Adam Bogdan Licznerski?
The Adam Bogdan Licznerski has been issued the NPI (National Provider Identifier) 1447229869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Adam Bogdan Licznerski?
The Adam Bogdan Licznerski is physically situated at 826 Washington St, in the city of Watertown, state of NY, with the postal code 136014065.
What is Adam Bogdan Licznerski's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Adam Bogdan Licznerski is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did the Adam Bogdan Licznerski receive its 1447229869?
The Adam Bogdan Licznerski was issued its 1447229869 on 2006-03-16, which is the date when the organization was assigned this unique identifier.
As of what date were the Adam Bogdan Licznerski's details last updated?
The information pertaining to the Adam Bogdan Licznerski, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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