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Contact Information

ROBERT WASICZKO, MD
1656 CHAMPLIN AVE
UTICA, NY13502
 Phone: 315-624-4090
 Fax: 315-624-4095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT WASICZKO · (Male)

NPI Number 1356394191
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2006
Last updated 10/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 183436
  • NY Medicaid 01246377
Hospital affiliation(s)
  • NATHAN LITTAUER HOSPITAL - (Acute Care)
    99 EAST STATE STREET
    GLOVERSVILLE, NY 12078
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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