Provider Demographics
NPI:1285693945
Name:BUDZINSKI, NANCY KATHLEEN (PT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KATHLEEN
Last Name:BUDZINSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1051
Mailing Address - Country:US
Mailing Address - Phone:716-684-0400
Mailing Address - Fax:716-683-7028
Practice Address - Street 1:5875 SO TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094
Practice Address - Country:US
Practice Address - Phone:716-433-9058
Practice Address - Fax:716-433-7814
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00011174501OtherUNIVERA
NY802407OtherMANAGED PHYSICAL NETWORK
NY000611988002OtherBLUE CROSS BLUE SHIELD
NY9305846OtherIHA
NY6602444OtherGHI
NY040426003531OtherFIDELIS
NY000611988002OtherBLUE CROSS BLUE SHIELD