Most Relevant Information
Provider Data
| NPI Number: | 1003308743 |
| Provider Name: | SHELBY GICZKOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2018 |
| Last Updated: | 05/30/2018 |
Provider Practice Location
34 N MAIN ST
WARSAW
NY
145691326
Practice Location Phone/Fax
| Phone: | 5857860220 |
| Fax: | 5857863631 |
Provider Mailing Location
227 THORN AVE
ORCHARD PARK
NY
141272600
Provider Mailing Phone/Fax
| Phone: | 7166622040 |
| Fax: | 7166620019 |