Individual
MICHAEL ZLOTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10060 COUNTY RD, CLARENCE CENTER, NY 14032-9178
(716) 204-4863
(716) 204-4864
Mailing address
PO BOX 344, WILLIAMSVILLE, NY 14231-0344
(716) 204-4863
(716) 204-4864
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03727011
—
NY
Enumeration date
03/13/2017
Last updated
03/13/2017
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