National Provider Identifier

Jacqueline Piazza, PA-C

Jacqueline Piazza, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 631-8212.

NPI 1003405101Williamsville, NYMedical Physician Assistant

Profile Overview

NPI
1003405101
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
January 13, 2021
Last Updated
July 11, 2023

Practice Location

  • 8270 Wehrle Dr
  • Williamsville, NY 14221-7392

Phone: (716) 631-8212

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1003405101
Entity Type
Individual
Last Name
Piazza
First Name
Jacqueline
Credential
PA-C
Mailing Street Address
8270 Wehrle Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7392
Mailing Country
US
Mailing Phone
(716) 631-8212
Practice Street Address
8270 Wehrle Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7392
Practice Country
US
Practice Phone
(716) 631-8212
Enumeration Date
January 13, 2021
Last Updated
July 11, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)