Individual
KATHLEEN BACSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1736
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060907
NY
Other
Enumeration date
04/15/2018
Last updated
02/19/2021
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