Wierzbowski, Corry Lea

Wierzbowski, Corry Lea is an individual health care provider with primary practice located at 1026 Union Rd , West Seneca NY 14224-3445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wierzbowski, Corry Lea can be contacted via phone (716) 712-0851.

Contact Information

Primary practice address
1026 Union Rd West Seneca NY 14224-3445
Phone: (716) 712-0851
Fax: (716) 712-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007783-1 New York

Profile Details

NPI number 1154327583
LBN Legal business name Wierzbowski, Corry Lea
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 24th, 2014 - about 12 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 1154327583 NPPES
New York MEDICAID 02345155

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