Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Mar 21, 2025
License(s)
033463 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 100 HIGH ST | Buffalo, NY 14203-1126 | 716-859-5600 |
| MAILING | 100 HIGH ST | Buffalo, NY 14203-1126 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.