National Provider Identifier
Michael R Brynildsen, PA
Michael R Brynildsen, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 878-2700.
Profile Overview
- NPI
- 1235464587
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 05, 2009
- Last Updated
- October 05, 2009
Practice Location
- 899 Main St
- Buffalo, NY 14203-1109
Phone: (716) 878-2700
Mailing Address
- 120 Gardenville Pkwy W
- C/O Credentialing Department
- West Seneca, NY 14224-1324
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1235464587
- Entity Type
- Individual
- Last Name
- Brynildsen
- First Name
- Michael
- Middle Name
- R
- Credential
- PA
- Mailing Street Address
- 120 Gardenville Pkwy W
- Mailing Address Line 2
- C/O Credentialing Department
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1324
- Mailing Country
- US
- Mailing Phone
- (716) 857-6150
- Mailing Fax
- (716) 656-4074
- Practice Street Address
- 899 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1109
- Practice Country
- US
- Practice Phone
- (716) 878-2700
- Practice Fax
- (716) 878-2701
- Enumeration Date
- October 05, 2009
- Last Updated
- October 05, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)