person
Paul L. Fazekas, PHD,NP
Psychiatric/Mental Health Nurse Practitioner in N Tonawanda, New York
NPI 1194745802

Paul L. Fazekas is a Psychiatric/Mental Health Nurse Practitioner based in Buffalo, NY and is specialized in Psychiatric/Mental Health. Paul L. Fazekas practices in N Tonawanda, NY and has the professional credentials of PHD,NP. The NPI Number for Paul L. Fazekas is 1194745802 and holds a License No. OF400720 (New York).

The current practice location address for Paul L. Fazekas is 465 Payne Ave, N Tonawanda, NY and can be reached out via phone at 716-694-7749 and via fax at 716-694-0793.

Location: 465 Payne Ave, N Tonawanda, NY, 14203-1711
person
Provider Profile Details
NPI Number
1194745802
Provider Name
Paul L. Fazekas
Credential
PHD,NP
Provider Entity Type
Individual
Gender
Male
Address
465 Payne Ave, N Tonawanda, NY, 14203-1711
Phone Number
716-694-7749
Fax Number
716-694-0793
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00030241505 01 NY UNIVERA
000500587004 01 NY COMMUNITY BLUE
institution
Provider Business Practice Location Address Details
Address
465 Payne Ave
City
State
Zip
14120-6941
Phone Number
716-694-7749
Fax Number
716-694-0793
person
Provider Business Mailing Address Details
Address
465 Payne Ave
City
State
Zip
14120-6941
Phone Number
716-694-7749
Fax Number
716-694-0793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
OF400720 (New York)
Definition
Definition to come...
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