Individual
CHAD EVAN GURZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
27 FRANKLIN ST, SPRINGVILLE, NY 14141-1375
(716) 592-9301
(716) 592-9376
Mailing address
27 FRANKLIN ST, SPRINGVILLE, NY 14141-1375
(716) 592-9301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687004-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403831-01
NY
Other
Enumeration date
07/02/2020
Last updated
03/24/2022
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