Individual
FREDERICK J PIWKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3805 LOCKPORT OLCOTT RD, LOCKPORT, NY 14094-1128
(716) 439-4248
(716) 439-4838
Mailing address
3805 LOCKPORT OLCOTT RD, LOCKPORT, NY 14094-1128
(716) 439-4248
(716) 439-4838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213857 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020529401
UNWIRA
—
01
—
000525755001
BC/BS OF WESTERN NEW YROK
NY
01
—
0110742
INDEPENDENT HEALTH
NY
05
—
01956481
—
NY
01
—
080145749
PALMETTO GBA MEDICARE RAILROAD
NY
01
—
5999046
GHI
—
Enumeration date
07/16/2006
Last updated
05/09/2011
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