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.

NPI 1891112496Buffalo, NYPhysician Assistant

Source: public NPPES record, last updated August 01, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Physician Assistant (363A00000X)