National Provider Identifier
Edmund Andrew Juncewicz, D.O.
Edmund Andrew Juncewicz, D.O. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Kenmore, NY and a listed phone number of (716) 447-6580.
Profile Overview
- NPI
- 1104069525
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- April 15, 2009
- Last Updated
- December 22, 2016
Practice Location
- 2950 Elmwood Avenue (Kenmore Mercy Hospital)
- Kenmore, NY 14217-1304
Phone: (716) 447-6580
Mailing Address
- 2333 Elmwood Ave
- Suite 2
- Kenmore, NY 14217-2646
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1104069525
- Entity Type
- Individual
- Last Name
- Juncewicz
- First Name
- Edmund
- Middle Name
- Andrew
- Credential
- D.O.
- Mailing Street Address
- 2333 Elmwood Ave
- Mailing Address Line 2
- Suite 2
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2646
- Mailing Country
- US
- Mailing Phone
- (716) 874-1098
- Mailing Fax
- (716) 874-9616
- Practice Street Address
- 2950 Elmwood Avenue (Kenmore Mercy Hospital)
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 447-6580
- Enumeration Date
- April 15, 2009
- Last Updated
- December 22, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)
- Other Identifiers
- 03631454 (NY)