MEDICARE: WILLIAM ANDREW CISZEWSKI M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	1567841	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891791224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ANDREW CISZEWSKI M.D.

Provider Business Mailing Address
First Line	:	2211 LYELL AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 LYELL AVE
Second Line	:	STE 107
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5743
Country	:	US
Telephone Number	:	585-429-6440
Fax Number	:	585-429-6661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/08/2007

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