MR. JACEK T SOSNOWSKI (NPI# 1659362192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659362192 |
| Entity Type | Individual |
| Full Name | MR. JACEK T SOSNOWSKI |
| Credential | MD |
| Practice Address |
3580 Sheridan Dr Suite 150 Amherst NY 14226-1645 |
| Mailing Address |
2805 N Oak St Suite B Valdosta GA 31602 |
| Practice Telephone | 7168340100 |
| Practice Fax Number | 7168341161 |
| Mailing Telephone | 2293162990 |
| Mailing Fax Number | 2292599547 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 058647 | GA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 199804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 211307866A | 05 |
| Street Address |
3580 SHERIDAN DR SUITE 150 |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367946 | Christopher P Poje | Otolaryngology | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2005-06-22 |
| 1720378722 | Suzanne J. Meyers, M.d., P.C. | Clinic/Center | 3580 Sheridan Dr, Ste 110, Amherst, NY 14226-1645 | 2011-04-11 |
| 1104081660 | Joann Lynn Bialecki | Specialist | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2008-07-24 |
| 1609065390 | Pediatric Ent Associates, Pllc | Physician Assistant | 3580 Sheridan Dr, Amherst, NY 14226-1645 | 2007-10-18 |
| 1881888626 | Joseph R. Berardi, Md PC | Ophthalmology | 3580 Sheridan Dr, Suite 150, Amherst, NY 14226-1645 | 2007-09-05 |
| 1285842500 | Ellen Denise Devere | Obstetrics & Gynecology | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2007-05-18 |
| 1851509186 | Urban Women's Medical, P.C. | Obstetrics & Gynecology | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2007-05-18 |
| 1386778850 | Lucille M. Kingston | Nurse Practitioner | 3580 Sheridan Dr, Amherst, NY 14226-1645 | 2007-03-15 |
| 1093860843 | University Ophthalmology Services Inc. | Ophthalmology | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2007-01-24 |
| 1356434666 | Buffalo Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679888606 | Britton Edgett Tisdale | Urology | 36 Nature Cove Ct, Amherst, NY 14221-1978 | 2010-08-14 |
| 1366637787 | Emilia Phillips Md PC | Urology | 3140 Sheridan Dr, Suite 219, Amherst, NY 14226-1900 | 2007-09-10 |
| 1457342990 | Northtow Urology Associates PC | Urology | 3580 Sheridan Dr, Suite 150, Amherst, NY 14226-1645 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
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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.