Individual
ADAM BOGDAN LICZNERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 WASHINGTON ST, SUITE 104, WATERTOWN, NY 13601-4065
(315) 786-1500
(315) 786-2074
Mailing address
826 WASHINGTON ST, SUITE 104, WATERTOWN, NY 13601-4065
(315) 786-1500
(315) 786-2074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
189322-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01680515
—
NY
01
—
AA0167
GROUP NUMBER
NY
Enumeration date
03/16/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us