Individual
ANDREW WICHTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4949 HARLEM RD, AMHERST, NY 14226-2500
(716) 204-3200
Mailing address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029272
NY
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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