National Provider Identifier
Robert Wicelinski Jr., D.O.
Robert Wicelinski Jr., D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Elmira, NY and a listed phone number of (607) 737-4508.
Profile Overview
- NPI
- 1437495421
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- December 18, 2012
- Last Updated
- November 12, 2025
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-4508
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Emergency Medicine Physician (207P00000X)
- Addiction Medicine (Family Medicine) Physician (207QA0401X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1437495421
- Entity Type
- Individual
- Last Name
- Wicelinski
- First Name
- Robert
- Name Suffix
- Jr.
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4508
- Practice Fax
- (607) 735-5738
- Enumeration Date
- December 18, 2012
- Last Updated
- November 12, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Addiction Medicine (Family Medicine) Physician (207QA0401X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 04665532 (NY)