Mr. Kenneth L Dzialak
Occupational Therapy Assistant
462 Grider St
Buffalo
, New York 14215-3021
Mr. Kenneth L Dzialak
Occupational Therapy Assistant
462 Grider St
Buffalo
, New York 14215-3021
(716) 773-6694
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Kenneth L Dzialak
- 3460 Stony Point Rd
- Grand Island, NY
- Zip : 14072-1129
- Phone : (716) 773-6694
Second Address
- Mr. Kenneth L Dzialak
- 462 Grider St
- Buffalo, NY
- Zip : 14215-3021
- Phone : (716) 898-3575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 006444-1 | NY |
National Provider Identifier
| NPI | 1003968397 |
|---|---|
| Provider Name | Mr. Kenneth L Dzialak |
| First Address | Grand Island, NY 14072-1129 |
| Second Address | Buffalo, NY 14215-3021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.