Individual
LAWRENCE R BIRZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, PT
Contact information
Practice address
3734 DELAWARE AVE, KENMORE, NY 14217-1002
(716) 874-1500
(716) 874-6396
Mailing address
3734 DELAWARE AVE, KENMORE, NY 14217-1002
(716) 874-1500
(716) 874-6396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003059-1
NY
225100000X
Physical Therapist
009221-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011191301
UNIVERA
NY
01
—
00020137801
UNIVERA
NY
01
—
000608461004
BC BS COMMUNITY BLUE
NY
01
—
00208461002
BC BS COMMUNITY BLUE
NY
05
—
00978432
—
NY
01
—
1030314
AETNA
NY
01
—
801640
EMPIRE PLAN
NY
01
—
8803885
INDEPENDENT HEALTH
NY
Enumeration date
07/31/2006
Last updated
04/07/2008
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