Most Relevant Information
Provider Data
| NPI Number: | 1003322868 |
| Provider Name: | DAVID PUCHALA |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | C-007731-1 |
Most Important Dates
| Enumeration Date: | 12/15/2017 |
| Last Updated: | 12/15/2017 |
Provider Practice Location
1990 BRANDT POINT DR
WEBSTER
NY
145801986
Practice Location Phone/Fax
| Phone: | 5857871810 |
| Fax: |
Provider Mailing Location
144 GOODBURLET RD
HENRIETTA
NY
144679503
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |