Provider Demographics
NPI:1033426259
Name:ZAKRZEWSKI, RITA A (MS, CCC-SLP, NYS LIC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:A
Last Name:ZAKRZEWSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP, NYS LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N ELLICOTT ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5119
Mailing Address - Country:US
Mailing Address - Phone:716-565-1883
Mailing Address - Fax:
Practice Address - Street 1:157 ELK ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-1419
Practice Address - Country:US
Practice Address - Phone:716-816-4783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009208-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist