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NPI Code Detail

MEDICARE: STEPHANIE REDLECKI P.A

MEDICARE:   STEPHANIE  REDLECKI  P.A
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
1363AM0700XMedical Physician Assistant008740NY

General Provider Information

NPI Number : 1437140423
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE REDLECKI P.A
Provider Business Mailing Address
First Line : 216 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1133
Country : US
Telephone Number : 716-326-3240
Fax Number : 716-326-3233
Provider Business Practice Location Address
First Line : 216 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1133
Country : US
Telephone Number : 716-326-3240
Fax Number : 716-326-3233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 05/30/2024

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Directions to “ STEPHANIE REDLECKI P.A” Practice Location

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