Provider Demographics
NPI:1376657189
Name:STANISLAWSKI, AIMEE LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:LYNNE
Last Name:STANISLAWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:STANISLAWSKI-ZYGAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:76 VETERANS AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-0810
Mailing Address - Country:US
Mailing Address - Phone:716-572-2974
Mailing Address - Fax:
Practice Address - Street 1:76 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-0810
Practice Address - Country:US
Practice Address - Phone:716-572-2974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2234432084P0800X
NY2530522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry