Wicelinski, Robert

Wicelinski, Robert is an sole proprietor health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wicelinski, Robert can be contacted via phone (607) 737-4508.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 737-4508
Fax: (607) 735-5738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 277455 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 277455 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 277455 New York

Profile Details

NPI number 1437495421
LBN Legal business name Wicelinski, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2012
Last updated Dec 1st, 2020 - about 4 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 1437495421 NPPES
New York MEDICAID 04665532

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