Healthcare Provider Details

I. General information

NPI: 1922261379
Provider Name (Legal Business Name): AARON CZEKAJ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 RICHMOND AVE
BUFFALO NY
14222
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 Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number006363
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: