MEDICARE: MICHAEL I HANZLY DPM

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	332B00000X	Durable Medical Equipment & Medical Supplies	2793	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	:	1780860353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL I HANZLY DPM

Provider Business Mailing Address
First Line	:	2267 SENECA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-2517
Country	:	US
Telephone Number	:	716-823-0049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2267 SENECA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-2517
Country	:	US
Telephone Number	:	716-823-0049
Fax Number	:

Authorized Official
Title or Position	:	DPM
Name	:	MICHAEL HANZLY
Credential	:
Telephone Number	:	716-823-0049

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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