{
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"FirstLineMailingAddress": "644 ELLICOTT ST",
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"MailingAddressTelephoneNumber": "716-247-5300",
"MailingAddressFaxNumber": "716-681-1205",
"FirstLinePracticeLocationAddress": "5965 TRANSIT RD",
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"PracticeLocationAddressCityName": "EAST AMHERST",
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"PracticeLocationAddressTelephoneNumber": "716-362-1094",
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"EnumerationDate": "06/14/2013",
"LastUpdateDate": "09/17/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRZEWIECZYNSKI",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "716-725-7329",
"Taxonomies": {
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{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}