Individual
MYRON Y PRAWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-5269
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
301202
NY
2085R0202X
Diagnostic Radiology Physician
OS014021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05870939
—
NY
05
—
101924742
—
PA
Enumeration date
04/18/2007
Last updated
02/09/2023
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