Prawak, Theodore P

Prawak, Theodore P is an sole proprietor health care provider with primary practice located at 1320 Walden Ave , Buffalo NY 14211-2822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Prawak, Theodore P can be contacted via phone (716) 891-9444.

Contact Information

Primary practice address
1320 Walden Ave Buffalo NY 14211-2822
Phone: (716) 891-9444
Fax: (716) 891-9445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 108780 New York

Profile Details

NPI number 1144334053
LBN Legal business name Prawak, Theodore P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - 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 1144334053 NPPES
New York Other 0803974 INDEPENDENT HEALTH
New York Other 000503478601 INDEPENDENT HEALTH
New York MEDICAID 00582852 INDEPENDENT HEALTH

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