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.
Source: public NPPES record, last updated August 23, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Erica Rae Bastian, PA-C, is a New York-registered physician assistant in Western New York. The New York State Office of the Professions lists her physician assistant licensure beginning in 2016 and her registration as current through August 2027.
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
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)