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Individual

DR. PETER J RIZNYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6272 W QUAKER ST, ORCHARD PARK, NY 14127-2644
(716) 662-7729
(716) 662-1822
Mailing address
6272 W QUAKER ST, ORCHARD PARK, NY 14127-2644
(716) 662-7729
(716) 662-1822

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
004194
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
004194
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000571
GHI
NY
01
00010254901
UNIVERA
NY
01
000504546001
BC BS
NY
01
000504546006
BC BS DME
NY
05
01012468
NY
01
8903856
INDEPENDENT HEALTH
NY
01
P041948
WORKERS COMP
NY
Enumeration date
01/10/2006
Last updated
10/29/2007
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