National Provider Identifier
Mary Jane Petruzzi, MD
Mary Jane Petruzzi, MD is listed in the NPPES registry with a primary specialty of Pediatric Hematology & Oncology Physician in Buffalo, NY and a listed phone number of (716) 878-7349.
Profile Overview
- NPI
- 1639252075
- Provider Type
- Individual
- Primary Specialty
- Pediatric Hematology & Oncology Physician
- Enumeration Date
- October 21, 2006
- Last Updated
- September 30, 2008
Practice Location
- 219 Bryant St
- Buffalo, NY 14222-2006
Phone: (716) 878-7349
Mailing Address
- 4511 Harlem RD
- Suite 202
- Amherst, NY 14226-3803
Specialties
- Pediatric Hematology & Oncology Physician (2080P0207X)
Full Record
- NPI
- 1639252075
- Entity Type
- Individual
- Last Name
- Petruzzi
- First Name
- Mary
- Middle Name
- Jane
- Credential
- MD
- Mailing Street Address
- 4511 Harlem RD
- Mailing Address Line 2
- Suite 202
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3803
- Mailing Country
- US
- Mailing Phone
- (716) 839-6720
- Mailing Fax
- (716) 839-6740
- Practice Street Address
- 219 Bryant St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-2006
- Practice Country
- US
- Practice Phone
- (716) 878-7349
- Practice Fax
- (716) 888-3801
- Enumeration Date
- October 21, 2006
- Last Updated
- September 30, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Hematology & Oncology Physician (2080P0207X)
- Other Identifiers
- 01169979 (NY), 040426001061 (Fidelis), 00010137401 (Univera), 1206399 (Iha), 000524343001 (Bc/Bs), 0015503720001 (PA Medicaid)