# EILEEN K. KOSIERACKI, D.O.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700156072
- **Authorized official:** MS. EILEEN KATHERINE KOSIERACKI D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (585) 589-6247

## Contact information

- **Practice address:** 3916 LONG BRIDGE RD, ALBION, NY 14411-9310
- **Practice address phone:** (585) 589-6247
- **Practice address fax:** (585) 589-6351
- **Mailing address:** 3916 LONG BRIDGE RD, ALBION, NY 14411-9310
- **Mailing address phone:** (585) 589-6247
- **Mailing address fax:** (585) 589-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 184108 | NY | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 01/04/2012