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NPI Code Detail

MEDICARE: ADAM C WOJCIECHOWSKI PA

MEDICARE: ADAM C WOJCIECHOWSKI PA
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
1363A00000XPhysician Assistant9378NY
2363A00000XPhysician Assistant009378NY

General Provider Information

NPI Number : 1184696866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM C WOJCIECHOWSKI PA
Provider Business Mailing Address
First Line : 8906 STOUT RD
Second Line :
City : CUBA
State : NY
Zip : 14727-9713
Country : US
Telephone Number : 716-307-9897
Fax Number :
Provider Business Practice Location Address
First Line : 191 N MAIN ST
Second Line :
City : WELLSVILLE
State : NY
Zip : 14895-1150
Country : US
Telephone Number : 585-596-4057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/03/2023

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Directions to “ ADAM C WOJCIECHOWSKI PA” Practice Location

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