Provider Demographics
NPI:1982947982
Name:LESCYNSKI, ANDREW RICHARD
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:RICHARD
Last Name:LESCYNSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:14750-1738
Mailing Address - Country:US
Mailing Address - Phone:716-499-6727
Mailing Address - Fax:
Practice Address - Street 1:421 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2720
Practice Address - Country:US
Practice Address - Phone:716-366-3417
Practice Address - Fax:716-366-3568
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist