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NPI Code Detail

MEDICARE: ADAM Z LECZYCKI MD

MEDICARE: ADAM Z LECZYCKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician250037NY
22084P0804XChild & Adolescent Psychiatry Physician250037NY

General Provider Information

NPI Number : 1316195514
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM Z LECZYCKI MD
Provider Business Mailing Address
First Line : 1841 PARK AVENUE
Second Line : 3RD FLOOR
City : NEW YORK
State : NY
Zip : 10035
Country : US
Telephone Number : 646-459-6166
Fax Number : 646-459-6086
Provider Business Practice Location Address
First Line : 1841 PARK AVE FL 3
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1316
Country : US
Telephone Number : 646-459-6166
Fax Number : 646-459-6086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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