Provider Demographics
NPI:1275970329
Name:CZWOJDAK, ALLISON J (MA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:J
Last Name:CZWOJDAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E MAIN ST
Mailing Address - Street 2:APT. UPPER
Mailing Address - City:CORFU
Mailing Address - State:NY
Mailing Address - Zip Code:14036-9661
Mailing Address - Country:US
Mailing Address - Phone:716-474-0745
Mailing Address - Fax:
Practice Address - Street 1:50 E NORTH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1002
Practice Address - Country:US
Practice Address - Phone:716-885-0229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist