Most Relevant Information
Provider Data
| NPI Number: | 1003804949 |
| Provider Name: | TOM MAZUR PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 007358 |
Most Important Dates
| Enumeration Date: | 10/13/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
219 BRYANT ST
BUFFALO
BUFFALO
NY
142222006
Practice Location Phone/Fax
| Phone: | 7168787093 |
| Fax: | 7168883827 |
Provider Mailing Location
219 BRYANT ST
BUFFALO
BUFFALO
NY
142222006
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |