National Provider Identifier

Elizabeth Bystrak

Elizabeth Bystrak is listed in the NPPES registry with a primary specialty of Specialist in Cheektowaga, NY and a listed phone number of (716) 505-5700.

NPI 1710240015Cheektowaga, NYSpecialist

Profile Overview

NPI
1710240015
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 21, 2012
Last Updated
July 21, 2022

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 505-5700

Mailing Address

  • 7725 Jewett Holmwood RD
  • Orchard Park, NY 14127-3009

Specialties

  • Specialist (174400000X)
Full Record
NPI
1710240015
Entity Type
Individual
Last Name
Bystrak
First Name
Elizabeth
Mailing Street Address
7725 Jewett Holmwood RD
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3009
Mailing Country
US
Mailing Phone
(716) 662-0969
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 505-5700
Practice Fax
(716) 633-9351
Enumeration Date
June 21, 2012
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)