Individual provider · Type 1 NPI
Jan Michal Wieckowski, MD, PhD
Ambulatory Fertility Facility · Grand Island, NY
Practice location
4332 E River Rd
Grand Island, NY 14072-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Fertility Facility Primary | 261QA0006X | 123310 (NY) |
Ambulatory Fertility Facility: A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transf…
About NPI 1740401538
Jan Michal Wieckowski, MD, PhD's National Provider Identifier is 1740401538, issued on May 1, 2007. The primary taxonomy on file is Ambulatory Fertility Facility (261QA0006X), and the practice location is in Grand Island, NY. The record was last updated on Jul 8, 2007.