Barbara Teresa Licznerski in Watertown - Specialist

Barbara Teresa Licznerski - NPI 1407825151

Barbara Teresa Licznerski is a Specialist in Watertown, New York. Barbara Teresa Licznerski practices all healthcare services and medical treatments related to Specialist. The NPI Number for Barbara Teresa Licznerski is 1407825151. The last update date is 2007-07-08.

Barbara Teresa 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 Barbara Teresa Licznerski is 826 Washington St, Watertown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Barbara Teresa Licznerski
Address 826 Washington St, Watertown, New York
Phone Number 3157861500
Fax Number 3157862074
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407825151
Provider Enumeration Date 2006-03-15
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 187504-1
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1563780 NY --
70012711 NY RAILROAD MEDICARE
AA0167 NY GROUP NUMBER

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FAQs about Barbara Teresa Licznerski

What is the Barbara Teresa Licznerski's 1407825151?

The Barbara Teresa Licznerski's NPI (National Provider Identifier) Number is 1407825151. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Barbara Teresa Licznerski's facilities are geographically located?

The facilities of Barbara Teresa Licznerski are physically situated at the following location: 826 Washington St, Watertown, NY, 136014065.

What is the Barbara Teresa Licznerski's specialty and taxonomy code?

The Barbara Teresa Licznerski's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When did the Barbara Teresa Licznerski receive its 1407825151?

The Barbara Teresa Licznerski was issued its 1407825151 on 2006-03-15, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Barbara Teresa Licznerski last refreshed?

The information related to the Barbara Teresa Licznerski, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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