Kuczmanski, Mark R

Kuczmanski, Mark R is an individual health care provider with primary practice located at 325 Essjay Rd Ste 170 , Williamsville NY 14221-8243. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kuczmanski, Mark R can be contacted via phone (716) 631-2517.

Contact Information

Primary practice address
325 Essjay Rd Ste 170 Williamsville NY 14221-8243
Phone: (716) 631-2517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011966 New York

Profile Details

NPI number 1346432333
LBN Legal business name Kuczmanski, Mark R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Dec 20th, 2021 - about 4 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 1346432333 NPPES
New York Other 00028138901 UNIVERA
New York MEDICAID 02908845 UNIVERA
New York Other 9514276 UNIVERA
New York Other 000529486001 UNIVERA

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