MEDICARE: DR. CHAD E SZYMANSKI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	224175	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336148709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD E SZYMANSKI DO

Provider Business Mailing Address
First Line	:	3799 COMMERCE CT
Second Line	:	SUITE 100
City	:	N TONAWANDA
State	:	NY
Zip	:	14120-2024
Country	:	US
Telephone Number	:	716-693-5463
Fax Number	:	716-693-6370

Provider Business Practice Location Address
First Line	:	3799 COMMERCE CT
Second Line	:	SUITE 100
City	:	N TONAWANDA
State	:	NY
Zip	:	14120-2024
Country	:	US
Telephone Number	:	716-693-5463
Fax Number	:	716-693-6370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	12/18/2013

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