Sophie Elizabet Walczyk, MD is a
Pediatrics physician based in Diamond Pt., New York. Sophie Elizabet Walczyk is licensed to practice in New York (license number 0095888) and her current practice location is 4050 Lake Shore Dr., Diamond Pt., New York. She can be reached at her office (for appointments etc.) via phone at
(518) 668-4445.
NPI number for Sophie Elizabet Walczyk is 1790061554 and her current mailing address is 4050 Lake Shore Dr., Diamond Pt., New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790061554.
Physician's Profile
| Full Name | Sophie Elizabet Walczyk |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 4050 Lake Shore Dr., Diamond Pt., New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790061554
- Provider Enumeration Date: 10/25/2011
- Last Update Date: 10/25/2011
Medical Identifiers
Medical identifiers for Sophie Elizabet Walczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790061554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0095888 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophie Elizabet Walczyk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophie Elizabet Walczyk, MD
4050 Lake Shore Dr.,
Diamond Pt., NY 12824
Ph: (518) 668-4445 | Sophie Elizabet Walczyk, MD
4050 Lake Shore Dr.,
Diamond Pt., NY 12824
Ph: (518) 668-4445 |
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