JACQUELINE CZWOJDAK (NPI# 1285186320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285186320 |
| Entity Type | Individual |
| Full Name | JACQUELINE CZWOJDAK |
| Credential | PA-C |
| Practice Address |
88 E Tioga Ave Ste 102 Corning NY 14830-2882 |
| Mailing Address |
135 N Union St Olean NY 14760-2736 |
| Practice Telephone | 6076846115 |
| Practice Fax Number | 6076846120 |
| Mailing Telephone | 7163757500 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 020282 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020282-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Guthrie Dr, Corning, NY 148303696 | 6079377540 | |
| 2430 N Triphammer Rd Ste B, Ithaca, NY 148501160 | 6073796072 | 6073796075 |
| 3773 Luker Rd Ste B, Cortland, NY 130459398 | 6076624059 | 6076624241 |
| Street Address |
88 E TIOGA AVE STE 102 |
| City | CORNING |
| State | NY |
| Zip Code | 14830-2882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158351 | John David Gordon | Physician Assistant | 88 E Tioga Ave Ste 102, 88 Tioga Avenue, Ste 102, Corning, NY 14830-2858 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
| Find all providers in zip 14830 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780993782 | Bryan Daniel Stowe | Physician Assistant | 320 Solano St Ste A, Corning, CA 96021-3454 | 2010-09-25 |
| 1598756942 | James Richard Pearson Jr. | Physician Assistant | 155 Solano St, Corning Medical Associates Inc, Corning, CA 96021-3511 | 2005-11-03 |
| 1053302901 | Don Carl Massie | Physician Assistant | 155 Solano Street, Corning Medical Associates Inc, Corning, CA 96021-3511 | 2005-10-31 |
| 1063883171 | Colbert Pierre | Physician Assistant | 740 Solano St, Corning, CA 96021-3352 | 2015-10-14 |
| 1811397581 | Kelley Kampa | Physician Assistant | 123 Conhocton St, Corning, NY 14830-2959 | 2014-08-29 |
| 1366686313 | Neeral Subhash Vishwanathan | Physician Assistant | 123 Conhocton St, Corning, NY 14830-2959 | 2009-04-21 |
| 1487739504 | Jodi L. Cardinale | Physician Assistant | 130 Center Way, Corning, NY 14830-2255 | 2006-10-26 |
| 1265476295 | Jeffrey P Hoffman | Physician Assistant | 130 Center Way, Corning, NY 14830-2255 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.