Individual
DR. MICHAEL BOYCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1947 RIDGE RD, WEST SENECA, NY 14224-3339
(716) 675-9777
Mailing address
1947 RIDGE RD, WEST SENECA, NY 14224-3339
(716) 675-9777
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
044040-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010297701
UNIVERA HEALTHCARE
NY
05
—
02118918
—
NY
Enumeration date
06/23/2006
Last updated
09/14/2007
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