Individual
GLORIA J BACIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 275-6733
Mailing address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 275-6733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
139439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708989
—
NY
Enumeration date
06/13/2006
Last updated
06/29/2023
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