DR. SAMUEL JOHN WLASOWICZ DO
NPI 1649012352
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 12, 2024
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4683(585) 922-4922 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel John Wlasowicz Do NPPES

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

DR. SAMUEL JOHN WLASOWICZ DO (NPI 1649012352) is an individual student in an organized health care education/training program in Rochester, New York, licensed in New York (390200000X) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1649012352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL JOHN WLASOWICZCredential: DO
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address1425 Portland AveRochester, NY 14621-3011 · (585) 922-4683 · Fax (585) 922-4922
Fax(585) 922-4922
Sole ProprietorNo
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1649012352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · 390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1425 PORTLAND AVE, Rochester, NY 14621

Other Providers at the Same Location NPPES 20

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

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Samuel Wlasowicz's NPI number?

The NPI number for Samuel Wlasowicz is 1649012352. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Samuel Wlasowicz located?

Samuel Wlasowicz practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4683.

What is Samuel Wlasowicz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Wlasowicz was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.