Petruzzi, Mary Jane

Petruzzi, Mary Jane is an individual health care provider with primary practice located at 219 Bryant St , Buffalo NY 14222-2006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Petruzzi, Mary Jane can be contacted via phone (716) 878-7349.

Contact Information

Primary practice address
219 Bryant St Buffalo NY 14222-2006
Phone: (716) 878-7349
Fax: (716) 888-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 179829 New York

Profile Details

NPI number 1639252075
LBN Legal business name Petruzzi, Mary Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Sep 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639252075 NPPES
New York MEDICAID 01169979
New York Other 040426001061
New York Other 00010137401
New York Other 1206399
New York Other 000524343001
New York Other 0015503720001

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