National Provider Identifier
Theodore P Prawak, M.D.
Theodore P Prawak, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Buffalo, NY and a listed phone number of (716) 891-9444.
Profile Overview
- NPI
- 1144334053
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- August 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1320 Walden Ave
- Buffalo, NY 14211-2822
Phone: (716) 891-9444
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1144334053
- Entity Type
- Individual
- Last Name
- Prawak
- First Name
- Theodore
- Middle Name
- P
- Credential
- M.D.
- Mailing Street Address
- 1320 Walden Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-2822
- Mailing Country
- US
- Mailing Phone
- (716) 891-9444
- Mailing Fax
- (716) 891-9445
- Practice Street Address
- 1320 Walden Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-2822
- Practice Country
- US
- Practice Phone
- (716) 891-9444
- Practice Fax
- (716) 891-9445
- Enumeration Date
- August 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 0803974 (NY, Independent Health), 000503478601 (NY, Blue Cross Of Wny), 00582852 (NY)