Individual
DR. AGATA KATARZYNA OLSZOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
367 E MAIN ST STE A, WATERLOO, NY 13165-1643
(315) 787-4977
(315) 787-4973
Mailing address
932 HASTINGS RD, GENEVA, NY 14456-9135
(419) 706-1497
(315) 787-4973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205442
ANTHEM BC/BS
OH
01
—
080181051
RAILROAD MEDICARE
—
05
—
2261609
—
OH
01
—
34170154302
BUREAU OF WORKERS COMPENS
OH
Enumeration date
07/27/2006
Last updated
09/07/2011
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