National Provider Identifier
Jill Ann Dziedzic
Jill Ann Dziedzic is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Machias, NY and a listed phone number of (716) 864-0250.
Profile Overview
- NPI
- 1598833881
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 9487 Main St
- Machias, NY 14101-9626
Phone: (716) 864-0250
Mailing Address
- 11796 Sparks RD
- Freedom, NY 14065-9715
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1598833881
- Entity Type
- Individual
- Last Name
- Dziedzic
- First Name
- Jill
- Middle Name
- Ann
- Mailing Street Address
- 11796 Sparks RD
- Mailing City
- Freedom
- Mailing State
- NY
- Mailing ZIP Code
- 14065-9715
- Mailing Country
- US
- Mailing Phone
- (716) 864-0250
- Practice Street Address
- 9487 Main St
- Practice City
- Machias
- Practice State
- NY
- Practice ZIP Code
- 14101-9626
- Practice Country
- US
- Practice Phone
- (716) 864-0250
- Enumeration Date
- December 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)