Provider Demographics
NPI:1316688344
Name:POLECHETTI CONSULTING LLC
Entity type:Organization
Organization Name:POLECHETTI CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLECHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:716-465-0222
Mailing Address - Street 1:555 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5547
Mailing Address - Country:US
Mailing Address - Phone:716-465-0222
Mailing Address - Fax:
Practice Address - Street 1:1408 SWEET HOME RD STE 9
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228-2783
Practice Address - Country:US
Practice Address - Phone:716-243-8377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty