Individual
MS. MARY JOAN DZIADASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19 BRIGGS DR, ORCHARD PARK, NY 14127-3127
(716) 662-2318
Mailing address
19 BRIGGS DR, ORCHARD PARK, NY 14127-3127
(716) 662-2318
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
003349-1
NY
Other
Enumeration date
07/25/2008
Last updated
12/05/2008
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