Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 026602-1 | NY |
NPI | 1639581788 |
---|---|
Provider Name | Mary Elizabeth Hajduk |
First Address | Buffalo, NY 14210-1847 |
Second Address | West Seneca, NY 14224-3332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2014 |
Last Update Date | 23/05/2014 |