National Provider Identifier
Glenn Robert Buczkowski, PA-C
Glenn Robert Buczkowski, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Amherst, NY and a listed phone number of (716) 877-7000.
Profile Overview
- NPI
- 1639107196
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 30, 2006
- Last Updated
- December 22, 2021
Practice Location
- 4927 Main St
- Ste 400
- Amherst, NY 14226-4081
Phone: (716) 877-7000
Specialties
- Surgical Physician Assistant (363AS0400X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1639107196
- Entity Type
- Individual
- Last Name
- Buczkowski
- First Name
- Glenn
- Middle Name
- Robert
- Credential
- PA-C
- Mailing Street Address
- 4927 Main St
- Mailing Address Line 2
- Ste 400
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4081
- Mailing Country
- US
- Mailing Phone
- (716) 690-2691
- Mailing Fax
- (716) 690-2695
- Practice Street Address
- 4927 Main St
- Practice Address Line 2
- Ste 400
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-4081
- Practice Country
- US
- Practice Phone
- (716) 877-7000
- Practice Fax
- (716) 322-1164
- Enumeration Date
- June 30, 2006
- Last Updated
- December 22, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)