MEDICARE: BARZMAN, KASIMOV & VIETH D.D.S.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	028906	NY

General Provider Information

NPI Number	:	1275673998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARZMAN, KASIMOV & VIETH D.D.S.P.C.

Provider Business Mailing Address
First Line	:	2430 N FOREST RD STE 200
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1535
Country	:	US
Telephone Number	:	716-636-8686
Fax Number	:	716-636-8669

Provider Business Practice Location Address
First Line	:	2430 N FOREST RD STE 200
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1535
Country	:	US
Telephone Number	:	716-636-8686
Fax Number	:	716-636-8669

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STUART S. BARZMAN
Credential	:	D.D.S.
Telephone Number	:	716-636-8686

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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