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Adam Bogdan Licznerski, MD
Specialist in Watertown, New York
NPI 1447229869

Adam Bogdan Licznerski is a Specialist based in Watertown, NY. Adam Bogdan Licznerski practices in Watertown, NY and has the professional credentials of MD. The NPI Number for Adam Bogdan Licznerski is 1447229869 and holds a License No. 189322-1 (New York).

The current practice location address for Adam Bogdan Licznerski is 826 Washington St, Watertown, NY and can be reached out via phone at 315-786-1500 and via fax at 315-786-2074. You can also correspond with Adam Bogdan Licznerski through the mailing address at 826 WASHINGTON ST, WATERTOWN, NY - 13601-4065 (mailing address contact number: 315-786-1500).

Location: 826 Washington St, Watertown, NY, 13601-4065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447229869
Provider Name
Adam Bogdan Licznerski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
826 Washington St, Watertown, NY, 13601-4065
Phone Number
315-786-1500
Fax Number
315-786-2074
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01680515 05 NY
AA0167 01 NY GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
826 Washington St
City
Watertown
State
New York
Zip
13601-4065
Phone Number
315-786-1500
Fax Number
315-786-2074
person
Provider Business Mailing Address Details
Address
826 Washington St
City
Watertown
State
New York
Zip
13601-4065
Phone Number
315-786-1500
Fax Number
315-786-2074
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
189322-1 (New York)
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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