Provider Demographics
NPI:1972029585
Name:KLIMKIEWICZ, PAWEL PATRYK (FNP)
Entity Type:Individual
Prefix:MR
First Name:PAWEL
Middle Name:PATRYK
Last Name:KLIMKIEWICZ
Suffix:
Gender:M
Credentials:FNP
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Mailing Address - Street 1:164 BOYNTON AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1241
Mailing Address - Country:US
Mailing Address - Phone:518-561-1122
Mailing Address - Fax:
Practice Address - Street 1:164 BOYNTON AVE
Practice Address - Street 2:STE 103
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1241
Practice Address - Country:US
Practice Address - Phone:518-561-1122
Practice Address - Fax:518-562-3476
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF341848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily