Kevin Walter Wieczenski
Kevin Walter Wieczenski is a Nurse Practitioner in Fonda, New York. Qualified in 2023, 3 years ago. Practices with Nathan Littauer Hospital Association, a 94-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 3
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
46 E Main StFonda, NY 12068-4821
Phone: (518) 773-5308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 352281 (NY) |
|---|
Record details
| NPI number | 1811674278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 28, 2023 |
| Last updated in NPPES | June 28, 2023 |
| Certification date | June 28, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Nathan Littauer Hospital Association — 94 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fonda
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Kaitlyn Conway Dulski, NP
46 E Main St, Fonda, NY 12068-4821 · (518) 853-3190
-
Vitina Ruffino-Mosher, FNP
46 E Main St, Fonda, NY 12068-4821 · (518) 853-3190
-
Mrs. Kristi Lc Searles, FNP
46 E Main St, Fonda, NY 12068-4821 · (518) 853-3190