National Provider Identifier
Talia Root, PA
Talia Root, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 632-1400.
Profile Overview
- NPI
- 1184624348
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 28, 2005
- Last Updated
- August 13, 2010
Practice Location
- 18 Limestone Dr
- Suite 5
- Williamsville, NY 14221-8602
Phone: (716) 632-1400
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1184624348
- Entity Type
- Individual
- Last Name
- Root
- First Name
- Talia
- Credential
- PA
- Mailing Street Address
- 18 Limestone Dr
- Mailing Address Line 2
- Suite 5
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8602
- Mailing Country
- US
- Mailing Phone
- (716) 632-1400
- Mailing Fax
- (716) 632-5316
- Practice Street Address
- 18 Limestone Dr
- Practice Address Line 2
- Suite 5
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8602
- Practice Country
- US
- Practice Phone
- (716) 632-1400
- Practice Fax
- (716) 632-5316
- Enumeration Date
- July 28, 2005
- Last Updated
- August 13, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 9512456 (NY, Independent Health), 00026701401 (NY, Univera)