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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADAM BOGDAN LICZNERSKI, MD

Active

ADAM BOGDAN LICZNERSKI, MD is a Specialist healthcare provider located in WATERTOWN, New York. NPI 1447229869 is currently active in the NPPES registry. Verify at CMS.

Specialist · WATERTOWN, NY

Registration Details

NPI Number
1447229869
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2006 (20.388267602547 yrs)
Last Updated
Jul 8, 2007
License
189322-1 (NY)

Practice Information

Address
826 WASHINGTON ST
SUITE 104
WATERTOWN, NY, 136014065
Browse NY providers · Browse ZIP 13601
Phone
3157861500
Fax
3157862074
Primary Specialty
Specialist
174400000X

Other Specialist Providers in WATERTOWN, NY

Name Credential NPI
DR. EUGENE M RENZI MD 1972593424
MRS. CHANTAL SIGOUIN WILTON PHYSICAL THERAPIST 1578545661
TERRI J SCOVILLE O.T. 1366410359
WENDY J ALFORD-TOUSLEY P.T. 1386611382
CHRISTILEE F PROTO O.T. 1376511378
KAREN J ATUTIS P.T. 1033186069
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.