Provider Demographics
NPI:1811494842
Name:ZWIERZCHOWSKI, BENJAMIN AARON (MD, MS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:AARON
Last Name:ZWIERZCHOWSKI
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:MR
Other - First Name:BENJAMIN
Other - Middle Name:AARON
Other - Last Name:ZWIERZCHOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MS
Mailing Address - Street 1:425 ESSJAY SUITE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1243
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:
Practice Address - Street 1:325 ESSJAY
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1422
Practice Address - Country:US
Practice Address - Phone:716-656-4459
Practice Address - Fax:716-250-5923
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306710207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine