Individual
MARK DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FORREST AVE, BUFFALO, BUFFALO, NY 14209
(716) 816-2265
Mailing address
59 BOARDMAN RD, WEST SENECA, NY 14218-2904
(716) 748-1962
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
501209
NY
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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