JOHN HENRY BIALIK

WATERTOWN, NY
NPI1164400545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  010114)
Enumeration Date2006-01-05
Last Update Date2007-07-08
Business Address
-- JOHN HENRY BIALIK pa
11050 MOUNT BELVEDERE BLVD
WATERTOWN, NY 13602-5438
Phone number: 315-772-4025
Mailing Address
-- JOHN HENRY BIALIK pa
4870 MAPLETON RD
LOCKPORT, NY 14094-9678
Phone number: 716-625-9750