Michelle Mazurkiewicz

Primary specialty

SpecialistTaxonomy code 174400000X

License

793876 Issued in NY

Practice address

124 Hillcrest Rd
Tonawanda, NY 14150-5320

Phone

(716) 803-4279

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1477322535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031002",
            "telephone_number": "716-885-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HILLCREST RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505320",
            "telephone_number": "716-803-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURKIEWICZ",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "793876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore C. Matteliano, R.PH.
• Marina A Maulucci, D.P.M.
• Maurice M Gelia DPM
• Thomas Maving, DPT
• Matthew Albert Mavissakalian, D.O.
• David McCalister
• Arthur James McCann, RPH
• Patricia A McCarthy-Hohl, LCSW-R
• Holly E McCarty, LCSW
• Margo Leah McCumber, D.D.S.

• Specialist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.