Provider Demographics
NPI:1407118854
Name:ZUBRICKY, CATHY ANNE (MS, ED)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:ANNE
Last Name:ZUBRICKY
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BRYANT ST
Mailing Address - Street 2:ROBERT WARNER M.D. CENTER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2006
Mailing Address - Country:US
Mailing Address - Phone:716-878-7705
Mailing Address - Fax:716-878-1277
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:ROBERT WARNER M.D. CENTER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7705
Practice Address - Fax:716-878-1277
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist