Individual
JOHN HENRY BIALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, WATERTOWN, NY 13602-5438
(315) 772-4025
(315) 772-9498
Mailing address
4870 MAPLETON RD, LOCKPORT, NY 14094-9678
(716) 625-9750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010114
NY
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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