Individual provider · Type 1 NPI

Barbara Teresa Licznerski, MD

Specialist · Watertown, NY

NPI number 1407825151 Active

Practice location

826 Washington St, Suite 104
Watertown, NY 13601-4065

Call (315) 786-1500 Map

Fax (315) 786-2074

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X187504-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407825151

Barbara Teresa Licznerski, MD's National Provider Identifier is 1407825151, issued on Mar 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2007.