Healthcare Provider Details

I. General information

NPI: 1740924331
Provider Name (Legal Business Name): KALEY SZCZECINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 BIG TREE RD
ORCHARD PARK NY
14127-4116
US

IV. Provider business mailing address

8205 MAIN ST STE 10
WILLIAMSVILLE NY
14221-6054
US

V. Phone/Fax

Practice location:
  • Phone: 716-539-0789
  • Fax: 716-250-9090
Mailing address:
  • Phone: 716-539-0789
  • Fax: 716-250-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33126
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: