Individual
CHARLENE KALOSZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500
Mailing address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041608-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465154
—
NY
Enumeration date
10/18/2017
Last updated
08/28/2019
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