Doctor Name: | MRS. RENEE MAZGAJ |
NPI Number: | 1346426004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | 006081-1 |
Business Practice Address: | 6167 W Quaker St Orchard Park, NY - 141272640 |
Business Phone Number: | 7166624800 |
Business Fax Number: | 7166625700 |
Mailing Address: | 132 Maple Ave, HAMBURG |
State: | NY |
Postal Code: | 140754808 |
Phone Number: | 7166480142 |
Fax Number: | 7166625700 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 006081-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |