National Provider Identifier

Aneliese Deveau Brandt

Aneliese Deveau Brandt is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Clarence, NY and a listed phone number of (716) 759-7759.

NPI 1083599989Clarence, NYMedical Physician Assistant

Profile Overview

NPI
1083599989
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 08, 2025
Last Updated
August 08, 2025

Practice Location

  • 9276 Main St Ste 1A
  • Clarence, NY 14031-1969

Phone: (716) 759-7759

Mailing Address

  • PO Box 554
  • Clarence, NY 14031-0554

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1083599989
Entity Type
Individual
Last Name
Brandt
First Name
Aneliese
Middle Name
Deveau
Mailing Street Address
PO Box 554
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-0554
Mailing Country
US
Mailing Phone
(716) 759-5579
Mailing Fax
(716) 759-1759
Practice Street Address
9276 Main St Ste 1A
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-1969
Practice Country
US
Practice Phone
(716) 759-7759
Practice Fax
(716) 759-1759
Enumeration Date
August 08, 2025
Last Updated
August 08, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)