National Provider Identifier
Stacey E Pynn, PA
Stacey E Pynn, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1154355501
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 10, 2006
- Last Updated
- October 24, 2019
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 50 Lakefront Blvd
- Suite 130
- Buffalo, NY 14202-4345
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1154355501
- Entity Type
- Individual
- Last Name
- Pynn
- First Name
- Stacey
- Middle Name
- E
- Credential
- PA
- Mailing Street Address
- 50 Lakefront Blvd
- Mailing Address Line 2
- Suite 130
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4345
- Mailing Country
- US
- Mailing Phone
- (716) 849-8750
- Mailing Fax
- (716) 849-8757
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- July 10, 2006
- Last Updated
- October 24, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 01957120 (NY)