National Provider Identifier
Kathleen Marie Rusnak
Kathleen Marie Rusnak is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Orchard Park, NY and a listed phone number of (716) 332-2444.
Profile Overview
- NPI
- 1265061329
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- April 02, 2020
- Last Updated
- December 16, 2022
Practice Location
- 3364 Southwestern Blvd
- Orchard Park, NY 14127-1524
Phone: (716) 332-2444
Mailing Address
- 13991 Route 78
- South Wales, NY 14139-9519
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1265061329
- Entity Type
- Individual
- Last Name
- Rusnak
- First Name
- Kathleen
- Middle Name
- Marie
- Mailing Street Address
- 13991 Route 78
- Mailing City
- South Wales
- Mailing State
- NY
- Mailing ZIP Code
- 14139-9519
- Mailing Country
- US
- Practice Street Address
- 3364 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1524
- Practice Country
- US
- Practice Phone
- (716) 332-2444
- Enumeration Date
- April 02, 2020
- Last Updated
- December 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)