Provider Demographics
NPI:1447620414
Name:WOJCIECHOWSKA, ELZBIETA
Entity type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:
Last Name:WOJCIECHOWSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SPRING MEADOW DR APT 9
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8437
Mailing Address - Country:US
Mailing Address - Phone:248-882-4490
Mailing Address - Fax:
Practice Address - Street 1:135 SPRING MEADOW DR APT 9
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-8437
Practice Address - Country:US
Practice Address - Phone:248-882-4490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist