Healthcare Provider Details

I. General information

NPI: 1407595861
Provider Name (Legal Business Name): CHAD E SZYMANSKI DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 WHEATFIELD ST STE 15
NORTH TONAWANDA NY
14120-7034
US

IV. Provider business mailing address

525 WHEATFIELD ST STE 15
NORTH TONAWANDA NY
14120-7034
US

V. Phone/Fax

Practice location:
  • Phone: 716-839-8000
  • Fax:
Mailing address:
  • Phone: 716-839-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHAD E SZYMANSKI
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 716-839-8000