Individual
EDWARD S PIECHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
408 N MAIN ST, WARSAW, NY 14569-1015
(585) 786-2290
(585) 786-2853
Mailing address
408 N MAIN ST, WARSAW, NY 14569-1015
(585) 786-2290
(585) 786-2853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00596-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01984752
—
NY
Enumeration date
07/13/2005
Last updated
07/08/2007
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