National Provider Identifier
Paul L. Fazekas, PH.D, N.P
Paul L. Fazekas, PH.D, N.P is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in N Tonawanda, NY and a listed phone number of (716) 694-7749.
Profile Overview
- NPI
- 1194745802
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 19, 2006
- Last Updated
- July 08, 2007
Practice Location
- 465 Payne Ave
- N Tonawanda, NY 14120-6941
Phone: (716) 694-7749
Mailing Address
- 525 Washington St
- Managed Care Department
- Buffalo, NY 14203-1711
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1194745802
- Entity Type
- Individual
- Last Name
- Fazekas
- First Name
- Paul
- Middle Name
- L.
- Credential
- PH.D, N.P
- Mailing Street Address
- 525 Washington St
- Mailing Address Line 2
- Managed Care Department
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1711
- Mailing Country
- US
- Mailing Phone
- (716) 856-4494
- Mailing Fax
- (716) 842-1277
- Practice Street Address
- 465 Payne Ave
- Practice City
- N Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-6941
- Practice Country
- US
- Practice Phone
- (716) 694-7749
- Practice Fax
- (716) 694-0793
- Enumeration Date
- July 19, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Other Identifiers
- 00030241505 (NY, Univera), 000500587004 (NY, Community Blue)