Individual provider · Type 1 NPI

Adam Bogdan Licznerski, MD

Specialist · Watertown, NY

NPI number 1447229869 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 174400000X189322-1 (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 1447229869

Adam Bogdan Licznerski, MD's National Provider Identifier is 1447229869, issued on Mar 16, 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.