Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam Bogdan Licznerski, MD

Individual provider Specialist · NPI 1447229869

Adam Bogdan Licznerski, MD is a Specialist in Watertown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

826 Washington St Ste 104
Watertown, NY 13601-4065
Phone: (315) 786-1500
Fax: (315) 786-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 189322-1 (NY)

Record details

NPI number1447229869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJuly 8, 2007

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