Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 270314 | NY |
NPI | 1023247921 |
---|---|
Provider Name | Michael Ignatius Hanzly JR. |
First Address | Williamsville, NY 14221-8235 |
Second Address | Williamsville, NY 14221-8216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 13/12/2021 |