Individual
JULIE A. MADEJSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5846 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 433-3053
(716) 433-3118
Mailing address
5846 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 433-3053
(716) 433-3118
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
2007041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010301401
UNIVERA
NY
01
—
000524651002
BSWNY
NY
05
—
01735648
—
NY
01
—
0271172
MVP/CIGNA
—
01
—
0299692
GHI
—
01
—
0709051
INDEP HEALTH
NY
01
—
5422459
AETNA
—
01
—
J400080377
MEDICARE PTAN
NY
Enumeration date
02/14/2006
Last updated
12/17/2012
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