National Provider Identifier

Jeffrey Allen Daoust, PA-C

Jeffrey Allen Daoust, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 898-3000.

NPI 1164448270Buffalo, NYSurgical Physician Assistant

Profile Overview

NPI
1164448270
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
July 14, 2006
Last Updated
June 14, 2018

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215

Phone: (716) 898-3000

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Surgical Physician Assistant (363AS0400X)
  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1164448270
Entity Type
Individual
Last Name
Daoust
First Name
Jeffrey
Middle Name
Allen
Credential
PA-C
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215
Practice Country
US
Practice Phone
(716) 898-3000
Enumeration Date
July 14, 2006
Last Updated
June 14, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X), Surgical Physician Assistant (363AS0400X)