Search › New York › 363A00000X
Brent Maczuga, PA-C
NPI 1891112496 · on the registry since 2014
Practice
- Address
- 21 Doat St
Buffalo, NY 14211 - Phone
- (716) 892-2775
- Fax
- (716) 597-0554
- Organisation at this address
- Jericho Road Ministries, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York