Provider Demographics
NPI:1598846941
Name:SAWICKI, RICHARD L (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:SAWICKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8657 BUFFALO AVENUE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4367
Mailing Address - Country:US
Mailing Address - Phone:716-283-3338
Mailing Address - Fax:716-283-3452
Practice Address - Street 1:8657 BUFFALO AVENUE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-4367
Practice Address - Country:US
Practice Address - Phone:716-283-3338
Practice Address - Fax:716-283-3452
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003284213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010256501OtherUNIVERA
NY000508675001OtherBC BS
NY0035309OtherGHI
NY8903877OtherINDEPENDENT HEALTH
NY00740565Medicaid
NY480001543OtherRAILROAD MEDICARE
Y005583OtherTRICARE REGION 1
NY000508675002OtherBC BS DME
NY0035309OtherGHI
NY480001543OtherRAILROAD MEDICARE
NY00740565Medicaid