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ADAM BOGDAN LICZNERSKI MD
NPI 1447229869
Specialist in Watertown, NY

Active since March 16, 2006
826 WASHINGTON ST, SUITE 104, WATERTOWN, NY 13601(315) 786-1500(315) 786-2074 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Bogdan Licznerski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM BOGDAN LICZNERSKI MD (NPI 1447229869) is an individual specialist in Watertown, New York, licensed in New York (189322-1) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1447229869
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameADAM BOGDAN LICZNERSKICredential: MD
Location Address826 WASHINGTON ST, SUITE 104Watertown, NY 13601-4065
Mailing Address826 Washington St, Suite 104Watertown, NY 13601-4065 · (315) 786-1500 · Fax (315) 786-2074
Phone(315) 786-1500
Fax(315) 786-2074
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447229869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 189322-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
826 WASHINGTON ST, Watertown, NY 13601
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Other Identifiers 4

Medicare UPING08406
Medicaid01680515NY
OtherAA0167NY · Group Number
Medicare ID-Type UnspecifiedBB3693

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAXTON L HILLERMAN MD
Otolaryngology
826 WASHINGTON ST, SUITE 204
WATERTOWN, NY 13601
Jefferson County (315) 788-1751
NORMAN WEIR MD
Otolaryngology
826 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1751
SAMARITAN MEDICAL PRACTICE, PC
Surgery
826 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1751
MELISSA A CHARLEBOIS RPA C
Physician Assistant (Medical)
826 WASHINGTON ST, SUITE 204
WATERTOWN, NY 13601
Jefferson County (315) 788-1751
DR. ROBERT O KIMBALL M.D.
Surgery
826 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 782-1505
HEATHER IROBUNDA M.D.
Obstetrics & Gynecology
826 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4624
MS. LAURA CHATHERINE COLIHAN RPA C
Physician Assistant
826 WASHINGTON ST, STE 106
WATERTOWN, NY 13601
Jefferson County (315) 786-2000
JEFFERSON EYE SURGEONS, LLP
Ophthalmology
826 WASHINGTON ST, SUITE 102
WATERTOWN, NY 13601
Jefferson County (315) 788-0022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Licznerski's NPI number?

The NPI number for Adam Licznerski is 1447229869. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Adam Licznerski located?

Adam Licznerski practices at 826 Washington St Suite 104, Watertown, NY 13601. The listed phone number is (315) 786-1500.

What is Adam Licznerski's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Adam Licznerski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.