Provider Demographics
NPI:1871523217
Name:WILAMOWSKI, HENRY GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:GEORGE
Last Name:WILAMOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 DICK RD
Mailing Address - Street 2:702 DICK ROAD
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3838
Mailing Address - Country:US
Mailing Address - Phone:716-681-2020
Mailing Address - Fax:716-681-3487
Practice Address - Street 1:702 DICK ROAD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225
Practice Address - Country:US
Practice Address - Phone:716-681-2020
Practice Address - Fax:716-681-3487
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140941-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology