Individual
DR. ALICIA MAREN WICZULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, MC-74, ALBANY, NY 12208-3412
(518) 262-4942
Mailing address
47 NEW SCOTLAND AVE, MC-74, ALBANY, NY 12208-3412
(518) 262-4942
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
277064
NY
Other
Enumeration date
04/03/2010
Last updated
11/16/2015
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