Provider Demographics
NPI:1487650032
Name:BRZYKCY, DAVID J (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:BRZYKCY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2258 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-2444
Mailing Address - Country:US
Mailing Address - Phone:716-867-2138
Mailing Address - Fax:716-826-2226
Practice Address - Street 1:2258 SENECA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-2444
Practice Address - Country:US
Practice Address - Phone:716-867-2138
Practice Address - Fax:716-826-2226
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018350-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic