National Provider Identifier

Stephanie M Bruzgul, P.A.

Stephanie M Bruzgul, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 433-3053.

NPI 1255369948Lockport, NYPhysician Assistant

Profile Overview

NPI
1255369948
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 29, 2006
Last Updated
July 08, 2007

Practice Location

  • 5875 S Transit RD
  • Lockport, NY 14094-6340

Phone: (716) 433-3053

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1255369948
Entity Type
Individual
Last Name
Bruzgul
First Name
Stephanie
Middle Name
M
Credential
P.A.
Mailing Street Address
5875 S Transit RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-6340
Mailing Country
US
Mailing Phone
(716) 433-3053
Practice Street Address
5875 S Transit RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-6340
Practice Country
US
Practice Phone
(716) 433-3053
Enumeration Date
June 29, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)