National Provider Identifier
Michael Fraser
Michael Fraser is listed in the NPPES registry with a primary specialty of Physician Assistant in Hamburg, NY and a listed phone number of (716) 646-6075.
Profile Overview
- NPI
- 1205220985
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 20, 2015
- Last Updated
- May 23, 2022
Practice Location
- 4535 Southwestern Boulevard Suite 801
- Hamburg, NY 14075-3647
Phone: (716) 646-6075
Mailing Address
- 40 La Riviere Dr Ste 201
- Buffalo, NY 14202-4344
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1205220985
- Entity Type
- Individual
- Last Name
- Fraser
- First Name
- Michael
- Mailing Street Address
- 40 La Riviere Dr Ste 201
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4344
- Mailing Country
- US
- Mailing Phone
- (716) 893-1010
- Mailing Fax
- (716) 893-1002
- Practice Street Address
- 4535 Southwestern Boulevard Suite 801
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-3647
- Practice Country
- US
- Practice Phone
- (716) 646-6075
- Enumeration Date
- March 20, 2015
- Last Updated
- May 23, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)