Individual
DR. MICHAEL IGNATIUS HANZLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2267 SENECA ST, BUFFALO, NY 14210-2517
(716) 823-0049
(716) 823-3744
Mailing address
2267 SENECA ST, BUFFALO, NY 14210-2517
(716) 823-0049
(716) 823-3744
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2793
NY
213E00000X
Podiatrist
PO 0001680
FL
332B00000X
Durable Medical Equipment & Medical Supplies
2793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010251601
UNIVERA
NY
01
—
000507505004
BLUE CROSS/BLUE SHIELD
NY
01
—
000507505005
BLUE CROSS/ BLUE SHIELD
NY
01
—
000507505008
BLUE CROSS/BLUE SHIELD
NY
05
—
00669750
—
NY
01
—
8907425
INDEPENDENT HEALTH
NY
Enumeration date
06/20/2005
Last updated
11/21/2007
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