Individual
LOUISE TOMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1984
(716) 862-1891
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1984
(716) 862-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
420385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026704201
UNIVERA HEALTHCARE
NY
01
—
000560345001
BLUE CROSS OF WNY
NY
01
—
9512387
INDEPENDENT HEALTH
NY
Enumeration date
07/15/2006
Last updated
12/07/2011
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