Provider Demographics
NPI:1376841676
Name:CZAJKOWSKI, JOHN E (PA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:CZAJKOWSKI
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4242 RIDGE LEA RD
Mailing Address - Street 2:STE 26
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-5120
Mailing Address - Country:US
Mailing Address - Phone:716-833-3237
Mailing Address - Fax:888-976-5853
Practice Address - Street 1:100 COLLEGE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6800
Practice Address - Country:US
Practice Address - Phone:716-626-0093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2017-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY014651363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant