National Provider Identifier

Dalton Fucik, PT, DPT

Dalton Fucik, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 648-2450.

NPI 1033803598Hamburg, NYPhysical Therapist

Profile Overview

NPI
1033803598
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 07, 2023
Last Updated
December 04, 2023

Practice Location

  • 4650 Southwestern Blvd
  • Hamburg, NY 14075-1939

Phone: (716) 648-2450

Mailing Address

  • 2116 Mill RD
  • West Falls, NY 14170-9752

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1033803598
Entity Type
Individual
Last Name
Fucik
First Name
Dalton
Credential
PT, DPT
Mailing Street Address
2116 Mill RD
Mailing City
West Falls
Mailing State
NY
Mailing ZIP Code
14170-9752
Mailing Country
US
Mailing Phone
(210) 667-6420
Practice Street Address
4650 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1939
Practice Country
US
Practice Phone
(716) 648-2450
Enumeration Date
June 07, 2023
Last Updated
December 04, 2023
Sex
Male
Sole Proprietor
No
Certification Date
December 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)