National Provider Identifier

Bethany McClinsey, PA

Bethany McClinsey, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 857-8607.

NPI 1053786632Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1053786632
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
December 08, 2015
Last Updated
December 06, 2021

Practice Location

  • 85 High St
  • Buffalo, NY 14203-1149

Phone: (716) 857-8607

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Buffalo, NY 14203

Full Record
NPI
1053786632
Entity Type
Individual
Last Name
McClinsey
First Name
Bethany
Credential
PA
Provider Other Last Name
Deyell
Provider Other First Name
Bethany
Provider Other Middle Name
Lynn
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Practice Street Address
85 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1149
Practice Country
US
Practice Phone
(716) 857-8607
Practice Fax
(716) 250-5914
Enumeration Date
December 08, 2015
Last Updated
December 06, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)