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General NPI Number Information
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NPI Number | 1225045685
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Entity Type | Individual
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Provider Name | PAUL F PIZZELLA MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 2157 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-2648
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Country | US
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Telephone | 716-862-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 AMSDELL RD
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City | HAMBURG
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State | NY
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Zip | 14075-5835
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Country | US
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Telephone | 716-649-9000
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Fax | 716-649-9005
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 235477
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License Number State | NY
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