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General NPI Number Information
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NPI Number | 1740139708
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Entity Type | Organization
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Legal Business Name | CUKIERSKI MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 8604 MAIN ST STE 4
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7463
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Country | US
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Telephone | 716-858-0243
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MIDWAY LN
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City | ELMA
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State | NY
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Zip | 14059-9136
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Country | US
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Telephone | 716-858-0243
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JACOB JOSEPH CUKIERSKI
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Credential | DO
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Telephone | 716-858-0243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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