National Provider Identifier

Brendan Mazurek, PT DPT

Brendan Mazurek, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 539-0888.

NPI 1174172399Williamsville, NYPhysical Therapist

Profile Overview

NPI
1174172399
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 10, 2019
Last Updated
October 01, 2020

Practice Location

  • 40 George Karl Blvd Ste 140
  • Williamsville, NY 14221-7183

Phone: (716) 539-0888

Mailing Address

  • Box 8000 Dept 314
  • Buffalo, NY 14267-0002

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1174172399
Entity Type
Individual
Last Name
Mazurek
First Name
Brendan
Credential
PT DPT
Mailing Street Address
Box 8000 Dept 314
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14267-0002
Mailing Country
US
Mailing Phone
(716) 213-0772
Mailing Fax
(716) 324-5004
Practice Street Address
40 George Karl Blvd Ste 140
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7183
Practice Country
US
Practice Phone
(716) 539-0888
Practice Fax
(716) 539-0889
Enumeration Date
September 10, 2019
Last Updated
October 01, 2020
Sex
Male
Sole Proprietor
No
Certification Date
October 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
05899647 (NY)