Izydorczak, Kelly C

Izydorczak, Kelly C is an individual health care provider with primary practice located at 650 Main St , East Aurora NY 14052-2423. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Izydorczak, Kelly C can be contacted via phone (716) 652-1813.

Contact Information

Primary practice address
650 Main St East Aurora NY 14052-2423
Phone: (716) 652-1813
Fax: (716) 652-4230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 040143 New York

Profile Details

NPI number 1790804755
LBN Legal business name Izydorczak, Kelly C
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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