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NPI Code Detail

MEDICARE: CHRISTOPHER EDWARD KIJOWSKI LCSW-R

MEDICARE:   CHRISTOPHER EDWARD KIJOWSKI  LCSW-R
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
11041C0700XClinical Social Worker074433NY

General Provider Information

NPI Number : 1710113436
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER EDWARD KIJOWSKI LCSW-R
Provider Business Mailing Address
First Line : 84 SWEENEY ST
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5822
Country : US
Telephone Number : 716-213-3938
Fax Number : 716-794-1700
Provider Business Practice Location Address
First Line : 84 SWEENEY STREET
Second Line : SITE 5C
City : NORTH TONAWANDA
State : NY
Zip : 14120-5822
Country : US
Telephone Number : 716-213-3938
Fax Number : 716-794-1700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 11/13/2024

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Directions to “ CHRISTOPHER EDWARD KIJOWSKI LCSW-R” Practice Location

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