Individual
RENEE DZIKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 JOANN WAY, AMSTERDAM, NY 12010-8344
(518) 842-8964
Mailing address
109 JOANN WAY, AMSTERDAM, NY 12010-8344
(518) 842-8964
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
779712971
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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