NPI 1003071465

Mary Joan Dziadaszek, OTRL

Practitioner Contractor Orchard Park, NY

Practice location

Address: 19 Briggs Dr, Orchard Park, NY 14127-3127
Phone: (716) 662-2318

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 003349-1 (NY)

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Registry record

NPI: 1003071465
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2008
Record last updated: 5 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.