Individual provider · Type 1 NPI

Paul L. Fazekas, PhD, N.P

Psychiatric/Mental Health Nurse Practitioner · North Tonawanda, NY

NPI number 1194745802 Active

Practice location

465 Payne Ave
North Tonawanda, NY 14120-6941

Fax (716) 694-0793

Mailing address

525 Washington St, Managed Care Department
Buffalo, NY 14203-1711

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XOF400720 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194745802

Paul L. Fazekas, PhD, N.P's National Provider Identifier is 1194745802, issued on Jul 19, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in North Tonawanda, NY. The record was last updated on Jul 8, 2007.