DR. JAN MICHAL WIECKOWSKI (NPI# 1740401538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740401538 |
| Entity Type | Individual |
| Full Name | DR. JAN MICHAL WIECKOWSKI |
| Other Name | DR. JOHN MICHAL WIECKOWSKI |
| Credential | M.D., PH.D. |
| Practice Address |
4332 E River Rd Grand Island NY 14072-1147 |
| Practice Telephone | 7167737927 |
| Mailing Telephone | 7167737927 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
123310 | NY | Ambulatory Health Care Facilities |
| Street Address |
4332 E RIVER RD |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| Find all providers in zip 14072 | ||||
| Taxonomy Code | 261QA0006X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | 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 Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136303 | Stacey Osbourne | Clinic/Center | 24311 147th Ave, Rosedale, NY 11422-2417 | 2018-12-18 |
| 1659823680 | Fertility Lab Sciences of New York | Clinic/Center | 810 Seventh Avenue, Floor 21, New York, NY 10019 | 2016-10-25 |
| 1295088250 | American Fertility Services | Clinic/Center | 123 West 79th Street, New York, NY 10024 | 2012-10-16 |
| 1528328382 | River View Fertility Medicine, PC | Clinic/Center | 51 E 67th St, New York, NY 10065-5949 | 2012-05-25 |
| 1396002838 | Ofrm Office Based Surgery, Pllc | Clinic/Center | 51 E 67th St, New York, NY 10065-5949 | 2012-04-23 |
| 1467780072 | Long Island Fertility & Endocrinology Assoc., PC | Clinic/Center | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2009-11-20 |
| 1417187485 | Long Island Medical Office Based Surgery Pllc | Clinic/Center | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2009-07-23 |
| 1902821820 | Nassau Healthcare Corporation | Clinic/Center | 460 N Main St, Freeport, NY 11520-1253 | 2006-07-13 |
| City | GRAND ISLAND |
| Zip Code | 14072 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.