Provider Demographics
NPI:1306092853
Name:KLINSKI, PATTIANN (MASTERS DEGREE)
Entity type:Individual
Prefix:MRS
First Name:PATTIANN
Middle Name:
Last Name:KLINSKI
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 WOODARD RD
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-9326
Mailing Address - Country:US
Mailing Address - Phone:716-652-5627
Mailing Address - Fax:
Practice Address - Street 1:2450 WOODARD RD
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9326
Practice Address - Country:US
Practice Address - Phone:716-652-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192873024171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor