National Provider Identifier
Grant William Krystofik, PHYSICIAN ASSISTANT
Grant William Krystofik, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 898-3000.
Profile Overview
- NPI
- 1184251076
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- March 23, 2020
- Last Updated
- April 09, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3000
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1184251076
- Entity Type
- Individual
- Last Name
- Krystofik
- First Name
- Grant
- Middle Name
- William
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (315) 898-4791
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3000
- Enumeration Date
- March 23, 2020
- Last Updated
- April 09, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)