Healthcare Provider Details

I. General information

NPI: 1336442128
Provider Name (Legal Business Name): AARON CZEKAJ, DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 RICHMOND AVE
BUFFALO NY
14222-1117
US

IV. Provider business mailing address

881 RICHMOND AVE
BUFFALO NY
14222-1117
US

V. Phone/Fax

Practice location:
  • Phone: 305-788-9889
  • Fax:
Mailing address:
  • Phone: 305-788-9889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN006363-1
License Number StateNY

VIII. Authorized Official

Name: AARON CZEKAJ
Title or Position: OWNER
Credential: DPM
Phone: 305-788-9889