Most Relevant Information
Provider Data
| NPI Number: | 1003351511 |
| Provider Name: | BLAIR BUCZKOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 418167 |
Most Important Dates
| Enumeration Date: | 12/20/2016 |
| Last Updated: | 12/20/2016 |
Provider Practice Location
3020 BAILEY AVE
BUFFALO
NY
142152814
Practice Location Phone/Fax
| Phone: | 7168312700 |
| Fax: |
Provider Mailing Location
3020 BAILEY AVE
BUFFALO
NY
142152814
Provider Mailing Phone/Fax
| Phone: | 7168312700 |
| Fax: |