Individual provider · Type 1 NPI
John Henry Bialik, PA
Medical Physician Assistant · Watertown, NY
NPI number
1164400545
Active
Practice location
11050 Mount Belvedere Blvd
Watertown, NY 13602-5438
Fax (315) 772-9498
Mailing address
4870 Mapleton Rd
Lockport, NY 14094-9678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 010114 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1164400545
John Henry Bialik, PA's National Provider Identifier is 1164400545, issued on Jan 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2007.