Individual
BRENDAN MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
40 GEORGE KARL BLVD STE 140, WILLIAMSVILLE, NY 14221-7183
(716) 539-0888
(716) 539-0889
Mailing address
BOX 8000 DEPT 314, BUFFALO, NY 14267-0002
(716) 213-0772
(716) 324-5004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05899647
—
NY
Enumeration date
09/10/2019
Last updated
10/01/2020
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