Individual
DR. ANDREW JOSEPH SIEDLECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 MAPLE ROAD, WILLIAMSVILLE, NY 14221
(716) 634-8500
(716) 634-8228
Mailing address
PO BOX 1068, GETZVILLE, NY 14068
(716) 634-8500
(716) 634-8228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
178042-8
NY
207W00000X
Ophthalmology Physician
1780428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558621
—
NY
Enumeration date
11/19/2005
Last updated
06/08/2010
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