Barbara Teresa Licznerski, MD

NPI #1407825151 in Watertown, New York

Provider Information

NPI Number: 1407825151
Entity Type: Individual
Name: Barbara Teresa Licznerski, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Mar 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 826 WASHINGTON ST
Address 2: SUITE 104
City: Watertown
State: New York
ZIP Code: 13601-4065
Phone: (315) 786-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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