MEDICARE: AUSTIN BLASZAK

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	101YM0800X	Mental Health Counselor	018014	NY

General Provider Information

NPI Number	:	1710810817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN BLASZAK

Provider Business Mailing Address
First Line	:	85 WHEATON DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14225-3234
Country	:	US
Telephone Number	:	716-462-8760
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 TRANSIT RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2232
Country	:	US
Telephone Number	:	716-588-4292
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ AUSTIN BLASZAK ” Practice Location

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