National Provider Identifier

Michele Lea Bassler, M.D.

Michele Lea Bassler, M.D. is listed in the NPPES registry with a primary specialty of General Practice Physician in Buffalo, NY and a listed phone number of (716) 829-9410.

NPI 1144461849Buffalo, NYGeneral Practice Physician

Profile Overview

NPI
1144461849
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
March 10, 2009
Last Updated
March 10, 2009

Practice Location

  • 126 W Humboldt Pkwy
  • Buffalo, NY 14214-2607

Phone: (716) 829-9410

Specialties

  • General Practice Physician (208D00000X)
Full Record
NPI
1144461849
Entity Type
Individual
Last Name
Bassler
First Name
Michele
Middle Name
Lea
Name Prefix
Mrs.
Credential
M.D.
Provider Other Last Name
Mercincavage
Provider Other First Name
Michele
Provider Other Middle Name
Lea
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
1
Mailing Street Address
126 W Humboldt Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2607
Mailing Country
US
Mailing Phone
(716) 829-9410
Practice Street Address
126 W Humboldt Pkwy
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2607
Practice Country
US
Practice Phone
(716) 829-9410
Enumeration Date
March 10, 2009
Last Updated
March 10, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X)
Other Identifiers
02009070 (NY)