Healthcare Provider Details

I. General information

NPI: 1285693945
Provider Name (Legal Business Name): NANCY KATHLEEN BUDZINSKI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 SO TRANSIT RD
LOCKPORT NY
14094
US

IV. Provider business mailing address

6301 TRANSIT RD
DEPEW NY
14043-1051
US

V. Phone/Fax

Practice location:
  • Phone: 716-433-9058
  • Fax: 716-433-7814
Mailing address:
  • Phone: 716-684-0400
  • Fax: 716-683-7028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: