National Provider Identifier
Jessica Lauren Drzewiecki, D.P.M.
Jessica Lauren Drzewiecki, D.P.M. is listed in the NPPES registry with a primary specialty of Podiatrist in Williamsville, NY and a listed phone number of (716) 204-1101.
Profile Overview
- NPI
- 1912312935
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- June 28, 2014
- Last Updated
- April 06, 2021
Practice Location
- 192 Park Club Lane
- Suite 100
- Williamsville, NY 14221
Phone: (716) 204-1101
Specialties
- Podiatrist (213E00000X)
- Podiatrist (213E00000X)
Full Record
- NPI
- 1912312935
- Entity Type
- Individual
- Last Name
- Drzewiecki
- First Name
- Jessica
- Middle Name
- Lauren
- Name Prefix
- Dr.
- Credential
- D.P.M.
- Provider Other Last Name
- Nowak
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Lauren
- Provider Other Credential Text
- D.P.M.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 192 Park Club Lane
- Mailing Address Line 2
- Suite 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 204-1101
- Mailing Fax
- (716) 204-8528
- Practice Street Address
- 192 Park Club Lane
- Practice Address Line 2
- Suite 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 204-1101
- Practice Fax
- (716) 204-8528
- Enumeration Date
- June 28, 2014
- Last Updated
- April 06, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X), Podiatrist (213E00000X)