Provider Demographics
NPI:1306139712
Name:BIELAWSKI, REBECCA JEAN (PNP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JEAN
Last Name:BIELAWSKI
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:613 PITTSFORD VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3933
Mailing Address - Country:US
Mailing Address - Phone:585-924-3300
Mailing Address - Fax:800-748-0281
Practice Address - Street 1:613 PITTSFORD VICTOR RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3933
Practice Address - Country:US
Practice Address - Phone:585-924-3300
Practice Address - Fax:800-748-0281
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF382086-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics