National Provider Identifier
Alicia R Bommersbach, PHYSICIAN ASSISTANT
Alicia R Bommersbach, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1022.
Profile Overview
- NPI
- 1245244516
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 29, 2006
- Last Updated
- April 04, 2023
Practice Location
- 295 Essjay RD
- Williamsville, NY 14221-8216
Phone: (716) 630-1022
Mailing Address
- 6255 Sheridan Dr
- Suite 304
- Williamsville, NY 14221-4836
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- abommersbach59736@nyumc.direct-ci.com
Direct Messaging Address | New York, NY 10016
Full Record
- NPI
- 1245244516
- Entity Type
- Individual
- Last Name
- Bommersbach
- First Name
- Alicia
- Middle Name
- R
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 6255 Sheridan Dr
- Mailing Address Line 2
- Suite 304
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4836
- Mailing Country
- US
- Mailing Phone
- (716) 857-8666
- Mailing Fax
- (716) 857-8944
- Practice Street Address
- 295 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8216
- Practice Country
- US
- Practice Phone
- (716) 630-1022
- Practice Fax
- (716) 250-5958
- Enumeration Date
- July 29, 2006
- Last Updated
- April 04, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 000528705001 (NY, Health Now), 9513979 (NY, Independent Health), 00027739701 (NY, Univera), 02808822 (NY)