Provider Demographics
NPI:1902883358
Name:PAZIK, ELAINE (NP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:PAZIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4567
Mailing Address - Country:US
Mailing Address - Phone:716-633-4575
Mailing Address - Fax:716-633-4576
Practice Address - Street 1:4575 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4567
Practice Address - Country:US
Practice Address - Phone:716-633-4575
Practice Address - Fax:716-633-4576
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF360062363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00026532602OtherUNIVERA
NY000560171008OtherBC/BS
NY01973431Medicaid
NY9512266OtherIHA
R92792Medicare UPIN
NY9512266OtherIHA
RA2144Medicare PIN