National Provider Identifier

Myron Y Prawak, DO

Myron Y Prawak, DO is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1619193620Buffalo, NYDiagnostic Radiology Physician

Profile Overview

NPI
1619193620
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
April 18, 2007
Last Updated
February 09, 2023

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-5269

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1619193620
Entity Type
Individual
Last Name
Prawak
First Name
Myron
Middle Name
Y
Credential
DO
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-5269
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
April 18, 2007
Last Updated
February 09, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
05870939 (NY), 101924742 (PA)