Individual
MR. MARK ZUCHLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, FAAOP
Contact information
Practice address
10654 MAIN ST, CLARENCE, NY 14031-1704
(716) 759-9111
(716) 759-9112
Mailing address
10654 MAIN ST, CLARENCE, NY 14031-1704
(716) 759-9111
(716) 759-9112
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP002723
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670313
—
NY
Enumeration date
04/07/2006
Last updated
11/10/2008
About Stedi
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