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NPI Code Detail

MEDICARE: MR. MARK D PINZEL RPA-C

MEDICARE: MR. MARK D PINZEL RPA-C
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
1363AM0700XMedical Physician Assistant007626NY

General Provider Information

NPI Number : 1386786051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK D PINZEL RPA-C
Provider Business Mailing Address
First Line : 2890 NIAGARA FALLS BLVD
Second Line :
City : N TONAWANDA
State : NY
Zip : 14120-1114
Country : US
Telephone Number : 716-807-7337
Fax Number : 716-807-0848
Provider Business Practice Location Address
First Line : 2890 NIAGARA FALLS BLVD
Second Line :
City : N TONAWANDA
State : NY
Zip : 14120-1114
Country : US
Telephone Number : 716-807-7337
Fax Number : 716-807-0848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 12/04/2007

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Directions to “ MR. MARK D PINZEL RPA-C” Practice Location

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