National Provider Identifier

Sandra Jean Eleczko

Sandra Jean Eleczko is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Livonia, NY and a listed phone number of (585) 346-2320.

NPI 1609893486Livonia, NYGeneral Practice Dentistry

Profile Overview

NPI
1609893486
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
July 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 6133 Big Tree RD
  • Livonia, NY 14487-9608

Phone: (585) 346-2320

Mailing Address

  • 4204 E Lake RD
  • Livonia, NY 14487-9630

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1609893486
Entity Type
Individual
Last Name
Eleczko
First Name
Sandra
Middle Name
Jean
Name Prefix
Dr.
Mailing Street Address
4204 E Lake RD
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9630
Mailing Country
US
Mailing Phone
(585) 346-6533
Practice Street Address
6133 Big Tree RD
Practice City
Livonia
Practice State
NY
Practice ZIP Code
14487-9608
Practice Country
US
Practice Phone
(585) 346-2320
Enumeration Date
July 16, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)