Individual
ANN MARIE PASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
11901 BROADWAY ST, ALDEN, NY 14004-9454
(716) 937-3300
(716) 937-3304
Mailing address
11901 BROADWAY ST, ALDEN, NY 14004-9454
(716) 937-3300
(716) 937-3304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400624
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560709004
BCBS OF WNY
NY
01
—
000560709005
BCBS OF WNY
NY
01
—
9590016
INDEPENDENT HEALTH
NY
01
—
J300000059
MEDICARE PTAN
NY
Enumeration date
06/20/2005
Last updated
12/19/2014
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