Individual provider · Type 1 NPI

Glenn Robert Buczkowski, PA-C

Surgical Physician Assistant · Amherst, NY

NPI number 1639107196 Active

Practice location

4927 Main St, Ste 400
Amherst, NY 14226-4081

Call (716) 877-7000 Map

Fax (716) 322-1164

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X006921 (NY)
Surgical Physician Assistant Primary 363AS0400X006921 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1639107196

Glenn Robert Buczkowski, PA-C's National Provider Identifier is 1639107196, issued on Jun 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Amherst, NY. The record was last updated on Dec 22, 2021.