Doctor Name: | MR. MARK D PINZEL |
NPI Number: | 1386786051 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPA-C |
License Number: | 007626 |
Business Practice Address: | 2890 Niagara Falls Blvd N Tonawanda, NY - 141201114 |
Business Phone Number: | 7168077337 |
Business Fax Number: | 7168070848 |
Mailing Address: | 2890 Niagara Falls Blvd, N TONAWANDA |
State: | NY |
Postal Code: | 141201114 |
Phone Number: | 7168077337 |
Fax Number: | 7168070848 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 007626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |