Individual
DARIUSZ JARSLAW LISTOPADZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 S HAMILTON ST, SUITE 109, PAINTED POST, NY 14870-9705
(607) 936-2089
(607) 936-8176
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02618582
—
NY
05
—
102812894
—
PA
Enumeration date
07/29/2006
Last updated
06/13/2016
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