Healthcare Provider Details

I. General information

NPI: 1790026896
Provider Name (Legal Business Name): CATHY TURCZYN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

4498 MAIN ST
AMHERST NY
14226-3826
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-1629
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number668783
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF343341-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: