Individual
JACQUELINE CZWOJDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
88 E TIOGA AVE STE 102, CORNING, NY 14830-2882
(607) 684-6115
(607) 684-6120
Mailing address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 375-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020282
NY
363AM0700X
Medical Physician Assistant
Primary
020282-1
NY
Other
Enumeration date
10/25/2016
Last updated
09/03/2020
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