Provider Demographics
NPI:1003844846
Name:CHRZANOWSKI, RICHARD PAUL (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:PAUL
Last Name:CHRZANOWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 PINE AVE
Mailing Address - Street 2:NIAGARA FALLS VA CLINIC
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-2300
Mailing Address - Country:US
Mailing Address - Phone:716-862-8580
Mailing Address - Fax:716-284-1702
Practice Address - Street 1:18 GARDEN LN
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-9007
Practice Address - Country:US
Practice Address - Phone:607-795-1698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY178396-1OtherNYS LICENSE