Provider Demographics
NPI:1518124577
Name:KUZMESKI, ROBERT (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:KUZMESKI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 COMMONWEALTH AVE.
Mailing Address - Street 2:9 BOYDEN BUILDING
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01003
Mailing Address - Country:US
Mailing Address - Phone:413-545-2750
Mailing Address - Fax:413-545-3150
Practice Address - Street 1:131 COMMONWEALTH AVE
Practice Address - Street 2:9 BOYDEN BUILDING
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9253
Practice Address - Country:US
Practice Address - Phone:413-545-2750
Practice Address - Fax:413-545-3150
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA544174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist