Provider Demographics
NPI:1598122913
Name:PAWELEK, STEFANIE ANNE
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:ANNE
Last Name:PAWELEK
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:STEFANIE
Other - Middle Name:ANNE
Other - Last Name:PAWELEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3648 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3400
Mailing Address - Country:US
Mailing Address - Phone:716-771-1354
Mailing Address - Fax:
Practice Address - Street 1:3648 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3400
Practice Address - Country:US
Practice Address - Phone:716-771-1354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012733111N00000X
NY006555171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist