National Provider Identifier

Michael Gabriel Bobak

Michael Gabriel Bobak is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 834-9200.

NPI 1396502464Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1396502464
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 04, 2024
Last Updated
March 04, 2024

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 834-9200

Mailing Address

  • 1011 Townhall Ter Apt B
  • Grand Island, NY 14072-1783

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1396502464
Entity Type
Individual
Last Name
Bobak
First Name
Michael
Middle Name
Gabriel
Mailing Street Address
1011 Townhall Ter Apt B
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1783
Mailing Country
US
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 834-9200
Enumeration Date
March 04, 2024
Last Updated
March 04, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)