Healthcare Provider Details
I. General information
NPI: 1619121274
Provider Name (Legal Business Name): VERONICA SZALKOWSKI-LEHANE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/10/2008
Last Update Date: 08/30/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13 N FULTON ST
AUBURN NY
13021-2703
US
IV. Provider business mailing address
1296 WILLOWDALE RD
SKANEATELES NY
13152-8607
US
V. Phone/Fax
- Phone: 315-253-8477
- Fax: 315-515-3191
- Phone: 716-863-9595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 7471595-1205 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | 308816 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: