National Provider Identifier
Samuel John Wlasowicz, DO
Samuel John Wlasowicz, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 922-4683.
Profile Overview
- NPI
- 1649012352
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 12, 2024
- Last Updated
- June 12, 2024
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4683
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1649012352
- Entity Type
- Individual
- Last Name
- Wlasowicz
- First Name
- Samuel
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3011
- Mailing Country
- US
- Mailing Phone
- (585) 922-4683
- Mailing Fax
- (585) 922-4922
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4683
- Practice Fax
- (585) 922-4922
- Enumeration Date
- June 12, 2024
- Last Updated
- June 12, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)