National Provider Identifier
Mark Fenzl, MD
Mark Fenzl, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Springville, NY and a listed phone number of (716) 592-2871.
Profile Overview
- NPI
- 1710958780
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- January 30, 2006
- Last Updated
- April 23, 2020
Practice Location
- 224 E Main St
- Springville, NY 14141-1443
Phone: (716) 592-2871
Mailing Address
- PO Box 1314
- Orchard Park, NY 14127-8314
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1710958780
- Entity Type
- Individual
- Last Name
- Fenzl
- First Name
- Mark
- Credential
- MD
- Mailing Street Address
- PO Box 1314
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-8314
- Mailing Country
- US
- Mailing Phone
- (716) 535-0741
- Mailing Fax
- (716) 650-5745
- Practice Street Address
- 224 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1443
- Practice Country
- US
- Practice Phone
- (716) 592-2871
- Enumeration Date
- January 30, 2006
- Last Updated
- April 23, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 01560085 (NY)