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

Dr. Samuel John Wlasowicz, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649012352

Dr. Samuel John Wlasowicz, DO is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3011
Phone: (585) 922-4683
Fax: (585) 922-4922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X (NY)

Record details

NPI number1649012352
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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