Provider Demographics
NPI:1407067077
Name:JARZYNA, WILLIAM G (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:G
Last Name:JARZYNA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-4444
Mailing Address - Country:US
Mailing Address - Phone:716-674-3433
Mailing Address - Fax:
Practice Address - Street 1:39 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-4444
Practice Address - Country:US
Practice Address - Phone:716-674-3433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist