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NPI 1447229869

IndividualActive

Adam Licznerski, MD

NPI 1447229869 · Specialist · Watertown, NY

Provider details

NPI number: 1447229869
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: MD
Sex: Male
Sole proprietor: No
License: 189322-1 (NY)

Practice location

826 Washington St

Suite 104

Watertown, NY 13601-4065

Phone: (315) 786-1500

Fax: (315) 786-2074

More NY providers

Mailing address

826 Washington St

Watertown, NY 13601-4065

Registry dates

Enumerated: 2006-03-16
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Licznerski, MD — NPI 1447229869, Watertown, NY | NPI Central