National Provider Identifier
Victoria Elizabeth Grudzinski, PA-C
Victoria Elizabeth Grudzinski, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 565-1234.
Profile Overview
- NPI
- 1124330048
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 08, 2010
- Last Updated
- January 24, 2023
Practice Location
- 61 Maple RD
- Williamsville, NY 14221-2918
Phone: (716) 565-1234
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1124330048
- Entity Type
- Individual
- Last Name
- Grudzinski
- First Name
- Victoria
- Middle Name
- Elizabeth
- Credential
- PA-C
- Mailing Street Address
- 61 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2918
- Mailing Country
- US
- Mailing Phone
- (716) 565-1234
- Mailing Fax
- (716) 565-1246
- Practice Street Address
- 61 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2918
- Practice Country
- US
- Practice Phone
- (716) 565-1234
- Practice Fax
- (716) 565-1246
- Enumeration Date
- July 08, 2010
- Last Updated
- January 24, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)