Individual
BRIAN DAVID DZIEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,C.A.S.
Contact information
Practice address
51 ST JOHNS PARKSIDE, BUFFALO, NY 14210-2515
(716) 828-9560
(716) 828-9460
Mailing address
35 THERESA DR, CHEEKTOWAGA, NY 14227-3436
(716) 675-4227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1970620
NY
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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