National Provider Identifier
Haley Chizuk, PHD, ATC
Haley Chizuk, PHD, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1801396270
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 13, 2018
- Last Updated
- August 07, 2024
Practice Location
- 111 N Maplemere RD
- Buffalo, NY 14221-3181
Phone: (716) 204-3200
Mailing Address
- 6155 Old Lake Shore RD
- Lake View, NY 14085-9522
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1801396270
- Entity Type
- Individual
- Last Name
- Chizuk
- First Name
- Haley
- Name Prefix
- Dr.
- Credential
- PHD, ATC
- Mailing Street Address
- 6155 Old Lake Shore RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9522
- Mailing Country
- US
- Mailing Phone
- (716) 432-0533
- Practice Street Address
- 111 N Maplemere RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-3181
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Enumeration Date
- February 13, 2018
- Last Updated
- August 07, 2024
- Deactivation Date
- May 22, 2019
- Reactivation Date
- December 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 07, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)