Individual
JANINA PRZYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2605 HARLEM RD, CHEEKTOWAGA, NY 14225-4018
(716) 891-2400
Mailing address
604 ALT BLVD, GRAND ISLAND, NY 14072-2450
(716) 773-2059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
126167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020067903
UNIVERA
NY
01
—
000507440001
BLUE CROSS
NY
05
—
00691290
—
NY
01
—
040426001462
FIDELIS
NY
01
—
2009997
INDEPENDENT HEALTH
NY
01
—
4284
GHI
—
Enumeration date
03/24/2006
Last updated
08/24/2007
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