Individual
MR. KYLE ANDREW WIKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-1555
Mailing address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F333603-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03232620
—
NY
Enumeration date
08/16/2005
Last updated
04/01/2022
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