Fazekas, Paul L.

Fazekas, Paul L. is an individual health care provider with primary practice located at 465 Payne Ave , N Tonawanda NY 14120-6941. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Fazekas, Paul L. can be contacted via phone (716) 694-7749.

Contact Information

Primary practice address
465 Payne Ave N Tonawanda NY 14120-6941
Phone: (716) 694-7749
Fax: (716) 694-0793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X OF400720 New York

Profile Details

NPI number 1194745802
LBN Legal business name Fazekas, Paul L.
Credentials PH.D, N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194745802 NPPES
New York Other 00030241505 UNIVERA
New York Other 000500587004 UNIVERA

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