Provider Demographics
NPI:1104053586
Name:BUDZYNSKI, CHRISTINE L (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:BUDZYNSKI
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 E DELAVAN AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3014
Mailing Address - Country:US
Mailing Address - Phone:716-816-4494
Mailing Address - Fax:
Practice Address - Street 1:666 E DELAVAN AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3014
Practice Address - Country:US
Practice Address - Phone:716-816-4494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY015825-1OtherNYS OCCUPATIONAL THERAPY LICENSE NUMBER