National Provider Identifier
Jacqueline Czwojdak, PA-C
Jacqueline Czwojdak, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Corning, NY and a listed phone number of (607) 684-6115.
Profile Overview
- NPI
- 1285186320
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 25, 2016
- Last Updated
- September 03, 2020
Practice Location
- 88 E Tioga Ave Ste 102
- Corning, NY 14830-2882
Phone: (607) 684-6115
Mailing Address
- 135 N Union St
- Olean, NY 14760-2736
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1285186320
- Entity Type
- Individual
- Last Name
- Czwojdak
- First Name
- Jacqueline
- Credential
- PA-C
- Mailing Street Address
- 135 N Union St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-2736
- Mailing Country
- US
- Mailing Phone
- (716) 375-7500
- Practice Street Address
- 88 E Tioga Ave Ste 102
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2882
- Practice Country
- US
- Practice Phone
- (607) 684-6115
- Practice Fax
- (607) 684-6120
- Enumeration Date
- October 25, 2016
- Last Updated
- September 03, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)