Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAN MICHAL WIECKOWSKI, M.D., PH.D.
Active Sole ProprietorAmbulatory Fertility Facility · GRAND ISLAND, NY
Registration Details
- NPI Number
- 1740401538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (18.974896568499 yrs)
- Last Updated
- Jul 8, 2007
- License
-
123310 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4332 E RIVER RDGRAND ISLAND, NY, 140721147Browse NY providers · Browse ZIP 14072
- Phone
- 7167737927
- Primary Specialty
-
Ambulatory Fertility Facility
261QA0006X
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.