National Provider Identifier
Brent P Maczuga, PA-C
Brent P Maczuga, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 892-2775.
Profile Overview
- NPI
- 1891112496
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 21, 2014
- Last Updated
- August 01, 2023
Practice Location
- 21 Doat St
- Buffalo, NY 14211-1612
Phone: (716) 892-2775
Mailing Address
- 184 Barton St
- Buffalo, NY 14213-1573
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891112496
- Entity Type
- Individual
- Last Name
- Maczuga
- First Name
- Brent
- Middle Name
- P
- Credential
- PA-C
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 21 Doat St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-1612
- Practice Country
- US
- Practice Phone
- (716) 892-2775
- Practice Fax
- (716) 597-0554
- Enumeration Date
- March 21, 2014
- Last Updated
- August 01, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)