MEDICARE: DR. JOSEPH HEZKIAL DO

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	207L00000X	Anesthesiology Physician	334781-01	NY

General Provider Information

NPI Number	:	1629607692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH HEZKIAL DO

Provider Business Mailing Address
First Line	:	2568 WALDEN AVE STE 103-105
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-4760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2568 WALDEN AVE STE 103-105
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-4760
Country	:	US
Telephone Number	:	716-632-1088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	12/22/2025

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