Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2007013167 | MO |
Y | 2084N0402X | Child Neurologist | 2007013167 | MO |
NPI | 1245206606 |
---|---|
Provider Name | Alexander R Paciorkowski |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 02/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45585 | (02) |