Provider Demographics
NPI:1881040939
Name:CHRZANOWSKI, DOROTHY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:CHRZANOWSKI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SPICER CREEK RUN
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-2186
Mailing Address - Country:US
Mailing Address - Phone:716-255-7568
Mailing Address - Fax:
Practice Address - Street 1:65 NIAGARA SQ
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-3313
Practice Address - Country:US
Practice Address - Phone:716-816-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-08
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025504235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist