Individual
AGATA WOJTASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
8278 WILLETT PARKWAY, 2ND FLOOR, BALDWINSVILLE, NY 13027
(315) 652-1325
(315) 857-2886
Mailing address
5112 WEST TAFT ROAD, SUITE L, LIVERPOOL, NY 13088
(315) 452-2500
(315) 452-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03308270
—
NY
Enumeration date
12/01/2008
Last updated
01/10/2014
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