Christopher R Kieliszak
Facial Plastic Surgeon
1206 Driving Park Ave
Newark
, New York 14513
Christopher R Kieliszak
Facial Plastic Surgeon
1206 Driving Park Ave
Newark
, New York 14513
(315) 573-7787
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Christopher R Kieliszak
- 100 Kings Hwy S
- Rochester, NY
- Zip : 14617-5504
- Fax : (315) 573-7787
- Phone : (315) 331-1313
Second Address
- Christopher R Kieliszak
- 1206 Driving Park Ave
- Newark, NY
- Zip : 14513
- Fax : (315) 573-7787
- Phone : (315) 331-1313
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 300797 | NY |
National Provider Identifier
| NPI | 1346508421 |
|---|---|
| Provider Name | Christopher R Kieliszak |
| First Address | Rochester, NY 14617-5504 |
| Second Address | Newark, NY 14513 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2012 |
| Last Update Date | 30/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.