National Provider Identifier
Erica Rae Bastian, PA-C
Erica Rae Bastian, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 656-4852.
Profile Overview
- NPI
- 1053860809
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 21, 2016
- Last Updated
- August 23, 2018
Practice Location
- 3900 N Buffalo St
- Williamsville, NY 14221
Phone: (716) 656-4852
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Surgical Physician Assistant (363AS0400X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1053860809
- Entity Type
- Individual
- Last Name
- Bastian
- First Name
- Erica
- Middle Name
- Rae
- Credential
- PA-C
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 656-4852
- Practice Fax
- (716) 817-1779
- Enumeration Date
- September 21, 2016
- Last Updated
- August 23, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)