| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1598852329 | DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC | PO BOX 91 | WATERTOWN | NY | 136010091 | |||
| 1447229869 | LICZNERSKI | ADAM | BOGDAN | 826 WASHINGTON ST | WATERTOWN | NY | 136014065 | |
| 1407825151 | LICZNERSKI | BARBARA | TERESA | 826 WASHINGTON ST | WATERTOWN | NY | 136014065 |