Individual
GLENN ROBERT BUCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4927 MAIN ST, STE 400, AMHERST, NY 14226-4081
(716) 877-7000
(716) 322-1164
Mailing address
4927 MAIN ST, STE 400, AMHERST, NY 14226-4081
(716) 690-2691
(716) 690-2695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006921
NY
363AS0400X
Surgical Physician Assistant
Primary
006921
NY
Other
Enumeration date
06/30/2006
Last updated
12/22/2021
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