Organization
MICHAEL I. HANZLY DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL I HANZLY D.P.M. (PRESIDENT)
(716) 823-0049
Entity
Organization
Contact information
Practice address
2267 SENECA ST, BUFFALO, NY 14210-2517
(716) 823-0049
(716) 823-3744
Mailing address
2267 SENECA ST, BUFFALO, NY 14210-2517
(716) 823-0049
(716) 823-3744
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010251601
UNIVERA
NY
01
—
00507505005
BLUE CROSS/BLUE SHIELD
NY
05
—
00669750
—
NY
01
—
8907425
INDEPENDENT HEALTH
NY
01
—
U00029
UPIN
NY
Enumeration date
03/01/2010
Last updated
03/01/2010
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