National Provider Identifier
Andrew Koroschetz
Andrew Koroschetz is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 422-5677.
Profile Overview
- NPI
- 1033676044
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 26, 2019
- Last Updated
- March 14, 2024
Practice Location
- 5959 Big Tree RD Ste 102
- Orchard Park, NY 14127-2291
Phone: (716) 422-5677
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1033676044
- Entity Type
- Individual
- Last Name
- Koroschetz
- First Name
- Andrew
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Practice Street Address
- 5959 Big Tree RD Ste 102
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2291
- Practice Country
- US
- Practice Phone
- (716) 422-5677
- Enumeration Date
- February 26, 2019
- Last Updated
- March 14, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)