Siedlecki, Andrew Joseph

Siedlecki, Andrew Joseph is an sole proprietor health care provider with primary practice located at 170 Maple Road , Williamsville NY 14221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Siedlecki, Andrew Joseph can be contacted via phone (716) 634-8500.

Contact Information

Primary practice address
170 Maple Road Williamsville NY 14221
Phone: (716) 634-8500
Fax: (716) 634-8228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1780428 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 178042-8 New York

Profile Details

NPI number 1417939802
LBN Legal business name Siedlecki, Andrew Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2005
Last updated Jun 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417939802 NPPES
New York MEDICAID 01558621

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