Individual
DALTON FUCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4650 SOUTHWESTERN BLVD, HAMBURG, NY 14075-1939
(716) 648-2450
Mailing address
2116 MILL RD, WEST FALLS, NY 14170-9752
(210) 667-6420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050717
NY
Other
Enumeration date
06/07/2023
Last updated
12/04/2023
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