Klementowski, Marc Kenneth

Klementowski, Marc Kenneth is an individual health care provider with primary practice located at 6653 Main St , Williamsville NY 14221-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Klementowski, Marc Kenneth can be contacted via phone (716) 204-4500.

Contact Information

Primary practice address
6653 Main St Williamsville NY 14221-5906
Phone: (716) 204-4500
Fax: (716) 204-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 188748 New York

Profile Details

NPI number 1134196728
LBN Legal business name Klementowski, Marc Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 20th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196728 NPPES
New York MEDICAID 01795308

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