Provider Demographics
NPI:1790725125
Name:BUDZIKOWSKI, ADAM S (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:BUDZIKOWSKI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 LENOX RD
Mailing Address - Street 2:SUNY DOWSTATE DIV. CARDIOVASCULAR MEDICINE BOX 1199
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2017
Mailing Address - Country:US
Mailing Address - Phone:718-270-4147
Mailing Address - Fax:718-270-4106
Practice Address - Street 1:445 LENOX RD
Practice Address - Street 2:SUNY DOWSTATE DIV. CARDIOVASCULAR MEDICINE BOX 1199
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2017
Practice Address - Country:US
Practice Address - Phone:718-270-4147
Practice Address - Fax:718-270-4106
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219902207RC0000X, 207RC0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY070730000057OtherFIDELIS
NY6C5402OtherHEALTHNET
NY1043411OtherAMERIGROUP
NY219902OtherEMBLEM
NY523610101OtherHEALTH PLUS
NYMDH902OtherPREFERRED CARE
NY000925998001OtherBC/BS WESTERN NY
NY1000059162OtherAETNA
NY219902-01OtherNEIGHBOURHOOD
NY0167125OtherGHI
NY187119OtherELDERPLAN
NY219902-A18OtherHEALTH FIRST
NYP010219902OtherBLUE CHOICE
NYP3944259OtherOXFORD
NY070730000057OtherCENTERCARE
NY1000059162OtherAFFINITY
NY2124279OtherUNITED HEALTHCARE
NY219902-NYOther1199
NY7260065OtherCIGNA
NYP020219902OtherBLUE SHIELD
NY7574561OtherAETNA
NY0167125OtherGHI