Doctor Name: | MR. BRAD PECHERZEWSKI |
NPI Number: | 1487096384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 338230 |
Business Practice Address: | 14 Center St Cuba, NY - 147271002 |
Business Phone Number: | 5859683210 |
Business Fax Number: | 5859683031 |
Mailing Address: | 535 Main St, OLEAN |
State: | NY |
Postal Code: | 147601500 |
Phone Number: | 7163720141 |
Fax Number: | 7163726421 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 338230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |