Provider Demographics
NPI:1467431577
Name:ZAKRZEWSKI, LES (MD)
Entity Type:Individual
Prefix:
First Name:LES
Middle Name:
Last Name:ZAKRZEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2181
Mailing Address - Country:US
Mailing Address - Phone:716-677-4070
Mailing Address - Fax:716-677-4095
Practice Address - Street 1:721 CENTER RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2181
Practice Address - Country:US
Practice Address - Phone:716-677-4070
Practice Address - Fax:716-677-4095
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154880-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00806973Medicaid
NY14429BMedicare ID - Type Unspecified
NY00806973Medicaid